Provider Demographics
NPI:1730894007
Name:JAMES, SHANNAH KAY (LMSW)
Entity type:Individual
Prefix:MRS
First Name:SHANNAH
Middle Name:KAY
Last Name:JAMES
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1812 E HARVESTER AVE
Mailing Address - Street 2:
Mailing Address - City:PAMPA
Mailing Address - State:TX
Mailing Address - Zip Code:79065-5000
Mailing Address - Country:US
Mailing Address - Phone:806-206-0816
Mailing Address - Fax:
Practice Address - Street 1:1812 E HARVESTER AVE
Practice Address - Street 2:
Practice Address - City:PAMPA
Practice Address - State:TX
Practice Address - Zip Code:79065-5000
Practice Address - Country:US
Practice Address - Phone:806-206-0816
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-20
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX56333104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker