Shanice Douglas

Social Worker · Somerville, TN

Individual Active NPI

NPI number 1346750163

Practice location

12615 S Main St
Somerville, TN 38068-1673
Phone
(901) 465-9831

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NPI record

NPI
1346750163
Entity type
Individual (Type 1)
Enumeration date
October 6, 2017
Last updated
October 6, 2017
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Social Worker Primary 104100000X 11343 TN

Mailing address

1997 Highway 51 S
Covington, TN 38019-3630
Phone
(901) 476-8967

About Shanice Douglas

Shanice Douglas is a healthcare provider registered in the NPI registry with the primary taxonomy Social Worker (code 104100000X). The practice location is 12615 S Main St, Somerville, TN 38068-1673. The NPI number 1346750163 was assigned on October 6, 2017 and the record was last updated on October 6, 2017.

Shanice Douglas lists a license in the registry: #11343 (TN) for Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Shanice Douglas?

The NPI number is 1346750163.

What is the phone number of Shanice Douglas?

The phone number listed for the practice location is (901) 465-9831.

Where is Shanice Douglas located?

12615 S Main St, Somerville, TN 38068-1673.

What is the taxonomy code for Shanice Douglas?

The primary taxonomy code is 104100000X – Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.