MEDICARE: MRS. ALESHA DENISE SHAHEEN-WILLIAMS MSW, ACSW, LMSW

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	1041C0700X	Clinical Social Worker	6801067887	MI

General Provider Information

NPI Number	:	1487764650
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ALESHA DENISE SHAHEEN-WILLIAMS MSW, ACSW, LMSW

Provider Business Mailing Address
First Line	:	3284 PAULAN DR
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48706-2013
Country	:	US
Telephone Number	:	989-245-2702
Fax Number	:

Provider Business Practice Location Address
First Line	:	3284 PAULAN DR
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48706-2013
Country	:	US
Telephone Number	:	989-245-2702
Fax Number	:

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

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	12/28/2021

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