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NPI Code Detail

MEDICARE: MRS. SHANNON KAY YOCKEY LCSW

MEDICARE:  MRS. SHANNON KAY YOCKEY  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
11041C0700XClinical Social Worker991866CO

General Provider Information

NPI Number : 1215056726
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHANNON KAY YOCKEY LCSW
Provider Business Mailing Address
First Line : 109 CORONADO CT. BLDG 7
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525
Country : US
Telephone Number : 970-402-7030
Fax Number : 970-377-6767
Provider Business Practice Location Address
First Line : 109 CORONADO CT BLDG 7
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-4929
Country : US
Telephone Number : 970-402-7030
Fax Number : 970-377-6767
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2007
Last Update Date : 06/24/2014

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Directions to “ MRS. SHANNON KAY YOCKEY LCSW” Practice Location

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