Shayna Leigh Criswell
Social Worker, Clinical in Kennett, MO. Individual provider (NPI-1).
NPI number1104410182
StatusActive
Last updated in NPPESFeb 22, 2021
Details
- NPI
- 1104410182
- Entity type
- Individual (NPI-1)
- Name
- Shayna Leigh Criswell
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 22, 2021
- Certification date
- Feb 2, 2021
- Last updated
- Feb 22, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
925 Highway VvKennett, MO 63857-0071
Phone 573-888-5925
Mailing address
925 Highway VvKennett, MO 63857-0071
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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