Shane Stephen McDaniel, MSW, CSWA
Social Worker in Dallas, OR. Individual provider (NPI-1).
NPI number1457478331
StatusActive
Last updated in NPPESApr 16, 2015
Details
- NPI
- 1457478331
- Entity type
- Individual (NPI-1)
- Name
- Mr. Shane Stephen McDaniel
- Credential
- MSW, CSWA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 23, 2007
- Last updated
- Apr 16, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | A3638 | OR | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
182 Sw Academy StSuite 304
Dallas, OR 97338-1922
Phone 503-623-1886 · Fax 503-623-7560
Mailing address
182 Sw Academy StSuite 304
Dallas, OR 97338-1922
Phone 503-623-1886 · Fax 503-623-7560
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