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MRS. SHANNA WIDEMAN MA, AADC
NPI 1740424506
Psychologist - Addiction (Substance Use Disorder) in Martinsburg, WV

Active since April 23, 2009
397 MID ATLANTIC PKWY, SUITE 3, MARTINSBURG, WV 25404(304) 260-6360(304) 260-6459 Get Directions Write a Review

NPPES record last updated: October 23, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Shanna Wideman Ma, Aadc NPPES

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

MRS. SHANNA WIDEMAN MA, AADC (NPI 1740424506) is an individual addiction (substance use disorder) provider in Martinsburg, West Virginia and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1740424506
Entity TypeIndividualFemale
Primary Taxonomy103TA0400X
Provider Legal NameMRS. SHANNA WIDEMANCredential: MA, AADC
Location Address397 MID ATLANTIC PKWY, SUITE 3Martinsburg, WV 25404-7468
Mailing Address397 Mid Atlantic Pkwy Ste 3Martinsburg, WV 25404-7468 · (304) 260-6360
Phone(304) 260-6360
Fax(304) 260-6459
Sole ProprietorYes
Enumeration DateApril 23, 2009
Last NPPES UpdateOctober 23, 2015
✔ NPI 1740424506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyPsychologist · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code103TA0400X
Definition
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X
Also ListedPsychologist · PsychoanalysisTaxonomy 103TP0814X
Also ListedPsychologist · RehabilitationTaxonomy 103TR0400X
397 MID ATLANTIC PKWY, Martinsburg, WV 25404
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Other Providers at the Same Location NPPES

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

JENNIFER TITUS
Homemaker
397 MID ATLANTIC PKWY
MARTINSBURG, WV 25404
Berkeley County (304) 267-3997

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 Shanna Wideman's NPI number?

The NPI number for Shanna Wideman is 1740424506. It was assigned to this individual provider in the NPPES registry on April 23, 2009.

Where is Shanna Wideman located?

Shanna Wideman practices at 397 Mid Atlantic Pkwy Suite 3, Martinsburg, WV 25404. The listed phone number is (304) 260-6360.

What is Shanna Wideman's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Addiction (Substance Use Disorder), with taxonomy code 103TA0400X.

When was this NPI record last updated?

The NPPES record for Shanna Wideman was last updated on October 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.