Shadoin, Johanna Choate
Shadoin, Johanna Choate is an individual health care provider with primary practice located at 1410 17Th Ave S , Nashville TN 37212-2804. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Shadoin, Johanna Choate can be contacted via phone (615) 297-6630.Contact Information
Primary practice address
1410 17Th Ave S
Nashville TN 37212-2804
Phone: (615) 297-6630
Fax: (615) 297-8228
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 661 | Tennessee |
Profile Details
NPI number | 1538165154 |
---|---|
LBN Legal business name | Shadoin, Johanna Choate |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 28th, 2005 |
Last updated | Oct 18th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1538165154 | NPPES |
Tennessee | MEDICAID | 1522905 |
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