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SHANE LIEDEKE
NPI 1033971577
Peer Specialist in Cassopolis, MI

Active since January 30, 2024
1124 AUSTIN, CASSOPOLIS, MI 49031(269) 228-5188 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shane Liedeke NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANE LIEDEKE (NPI 1033971577) is an individual peer specialist in Cassopolis, Michigan and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1033971577
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameSHANE LIEDEKE
Location Address1124 AUSTINCassopolis, MI 49031-8310
Mailing Address960 M 60 ECassopolis, MI 49031-9339
Phone(269) 228-5188
Sole ProprietorNo
Enumeration DateJanuary 30, 2024
NPPES CertifiedJanuary 30, 2024
✔ NPI 1033971577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1124 AUSTIN, Cassopolis, MI 49031
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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS KRISTINA MARTINEZ
Counselor (Mental Health)
1124 AUSTIN
CASSOPOLIS, MI 49031
Cass County (269) 445-3833
MS. LORI ANN SMITH
Social Worker
1124 AUSTIN
CASSOPOLIS, MI 49031
Cass County (269) 228-5173
DAWNA MIST HEILIGER
Social Worker
1124 AUSTIN
CASSOPOLIS, MI 49031
Cass County (269) 445-2451
KRISTIN DEANA ACOSTA B.S, CAADC-DP
Case Manager/Care Coordinator
1124 AUSTIN
CASSOPOLIS, MI 49031
Cass County (269) 445-2451
TAMANTHA RENEE MURPHY LLMSW
Social Worker
1124 AUSTIN
CASSOPOLIS, MI 49031
Cass County (269) 445-3833
CANDYCE RENEE BUYSSE MSW
Social Worker
1124 AUSTIN
CASSOPOLIS, MI 49031
Cass County (269) 445-2451
PAMELA J SMITH
Case Manager/Care Coordinator
1124 AUSTIN
CASSOPOLIS, MI 49031
Cass County (269) 445-2451
KINSEY RAYBURN
Social Worker (Clinical)
1124 AUSTIN
CASSOPOLIS, MI 49031
Cass County (269) 445-7587

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shane Liedeke's NPI number?

The NPI number for Shane Liedeke is 1033971577. It was assigned to this individual provider in the NPPES registry on January 30, 2024.

Where is Shane Liedeke located?

Shane Liedeke practices at 1124 Austin, Cassopolis, MI 49031. The listed phone number is (269) 228-5188.

What is Shane Liedeke's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Shane Liedeke was last updated on January 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.