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NPI Code Detail

MEDICARE: SHAWNA M WIANT LCSW

MEDICARE:   SHAWNA M WIANT  LCSW
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
1101Y00000XCounselor
21041C0700XClinical Social WorkerCSW.09924755CO

General Provider Information

NPI Number : 1114049103
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAWNA M WIANT LCSW
Provider Business Mailing Address
First Line : 9711 MOSS ROSE CIR
Second Line :
City : HIGHLANDS RANCH
State : CO
Zip : 80129-6438
Country : US
Telephone Number : 303-919-4640
Fax Number :
Provider Business Practice Location Address
First Line : 8008 E ARAPAHOE CT STE 100
Second Line :
City : CENTENNIAL
State : CO
Zip : 80112-6839
Country : US
Telephone Number : 720-305-6583
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2007
Last Update Date : 04/04/2025

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Directions to “ SHAWNA M WIANT LCSW” Practice Location

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