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
Fax: (615) 297-8228
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538165154 NPPES
Tennessee MEDICAID 1522905

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