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SHANNON NEVADA FAIRLESS BSW, CMII
NPI 1629305776
Case Manager/Care Coordinator in Woodward, OK

Active since November 11, 2009
1222 10TH ST, WOODWARD, OK 73801(580) 256-8615 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 4, 2024, Jul 29, 2021 (2 updates tracked since 2021).

About Shannon Nevada Fairless Bsw, Cmii NPPES

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

SHANNON NEVADA FAIRLESS BSW, CMII (NPI 1629305776) is an individual case manager/care coordinator provider in Woodward, Oklahoma and active in the NPI registry since November 2009.

NPPES Registry Identity

NPI1629305776
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameSHANNON NEVADA FAIRLESSCredential: BSW, CMII
Location Address1222 10TH STWoodward, OK 73801-3156
Mailing Address1222 10th StWoodward, OK 73801-3156 · (802) 568-6155
Phone(580) 256-8615
Sole ProprietorYes
Enumeration DateNovember 11, 2009
Last NPPES UpdateJune 4, 20242 updates tracked since enumeration
NPPES CertifiedJune 4, 2024
✔ NPI 1629305776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedBehavior TechnicianTaxonomy 106S00000X
1222 10TH ST, Woodward, OK 73801
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Other Providers at the Same Location NPPES 20

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

KATIE VAVERKA
Social Worker
1222 10TH ST
WOODWARD, OK 73801
Woodward County (580) 256-8615
MR. MICHAEL EDWARD SHUMAN JR.
Behavior Technician
1222 10TH ST
WOODWARD, OK 73801
Woodward County (580) 256-8615
KENZIE NICOLE JOHNSON
Case Manager/Care Coordinator
1222 10TH ST
WOODWARD, OK 73801
Woodward County (580) 256-8615
PATRICIA PETERS
Behavior Technician
1222 10TH ST
WOODWARD, OK 73801
Woodward County (580) 256-9700
MR. MARIO A PEREZ
Counselor (Mental Health)
1222 10TH ST, SUITE 211
WOODWARD, OK 73801
Woodward County (580) 256-8615
ASHLEY DAWN CORDER
Case Manager/Care Coordinator
1222 10TH ST
WOODWARD, OK 73801
Woodward County (580) 256-8615
TOSHA L HALONEN
Social Worker
1222 10TH ST, SUITE 211
WOODWARD, OK 73801
Woodward County (580) 571-3225
RANDALL RAMIREZ JR.
Social Worker
1222 10TH ST, SUITE 211
WOODWARD, OK 73801
Woodward County (580) 256-8615

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 Shannon Fairless's NPI number?

The NPI number for Shannon Fairless is 1629305776. It was assigned to this individual provider in the NPPES registry on November 11, 2009.

Where is Shannon Fairless located?

Shannon Fairless practices at 1222 10th St, Woodward, OK 73801. The listed phone number is (580) 256-8615.

What is Shannon Fairless's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Shannon Fairless was last updated on June 4, 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.