MEDICARE: SHAUNTE HARRIS REGISTER SOCIAL WORK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	CDCA.173763	OH
2	3245S0500X	Children's Substance Abuse Rehabilitation Facility	CDCA.173763	OH
3	104100000X	Social Worker	W.2600529	OH

General Provider Information

NPI Number	:	1023509460
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAUNTE HARRIS REGISTER SOCIAL WORK

Provider Business Mailing Address
First Line	:	4429 PACKARD RD
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43612-1943
Country	:	US
Telephone Number	:	419-973-2757
Fax Number	:

Provider Business Practice Location Address
First Line	:	5650 W CENTRAL AVE STE B1
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43615-1519
Country	:	US
Telephone Number	:	419-843-8006
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2018
Last Update Date	:	04/14/2026

Similar Medicare Providers

1992045181 — CARE4YOU2 LLC
Practice Location Address:

5650 W CENTRAL AVE , SUITE B
TOLEDO, OH
43615-1519

Practice Phone: 419-517-7300
Practice Fax: 419-517-7302

1720436090 — KNEADED MOMENTS MASSAGE
Practice Location Address:

5650 W CENTRAL AVE , SUITE C2
TOLEDO, OH
43615-1519

Practice Phone: 419-315-5010
Practice Fax:

1861262529 — MAIZIE WEIRICH
Practice Location Address:

5650 W CENTRAL AVE
TOLEDO, OH
43615-1519

Practice Phone: 419-378-7076
Practice Fax:

1588470124 — MS. TAMIKA NICOLE BREWER LPN, WSOC
Practice Location Address:

5650 W CENTRAL AVE
TOLEDO, OH
43615-1519

Practice Phone: 419-517-1200
Practice Fax:

1346198470 — TIARA M ARNOLD
Practice Location Address:

5650 W CENTRAL AVE STE B
TOLEDO, OH
43615-1519

Practice Phone: 419-984-4015
Practice Fax:

1992643456 — AERATECH MEDICAL LLC
Practice Location Address:

5650 W CENTRAL AVE STE B5
TOLEDO, OH
43615-1519

Practice Phone: 586-596-2442
Practice Fax:

Directions to “ SHAUNTE HARRIS REGISTER SOCIAL WORK” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.