SHAWN WALL
NPI 1649691908
Counselor - Addiction (Substance Use Disorder) in Wagoner, OK

Active since January 03, 2014
68470 S 315 RD, WAGONER, OK 74467(918) 729-9397(918) 482-5136 Get Directions Write a Review

NPPES record last updated: January 3, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shawn Wall NPPES

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

SHAWN WALL (NPI 1649691908) is an individual addiction (substance use disorder) provider in Wagoner, Oklahoma and active in the NPI registry since January 2014.

NPPES Registry Identity

NPI1649691908
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSHAWN WALL
Location Address68470 S 315 RDWagoner, OK 74467-6292
Mailing Address68470 S 315 RdWagoner, OK 74467-6292 · (918) 729-9397 · Fax (918) 482-5136
Fax(918) 482-5136
Sole ProprietorYes
Enumeration DateJanuary 3, 2014
NPI 1649691908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
68470 S 315 RD, Wagoner, OK 74467

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 Shawn Wall's NPI number?

The NPI number for Shawn Wall is 1649691908. It was assigned to this individual provider in the NPPES registry on January 3, 2014.

Where is Shawn Wall located?

Shawn Wall practices at 68470 S 315 Rd, Wagoner, OK 74467. The listed phone number is (918) 729-9397.

What is Shawn Wall's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Shawn Wall was last updated on January 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.