Individual provider · Type 1 NPI

Tabatha M. Shankle, LCSW

Clinical Social Worker · Sikeston, MO

NPI number 1245675396 Active

Practice location

760 Plantation Blvd
Sikeston, MO 63801-5736

Mailing address

505 N Main St
Charleston, MO 63834-1030

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X2012011602 (MO)
Clinical Social Worker Primary 1041C0700X2014030736 (MO)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1245675396

Tabatha M. Shankle, LCSW's National Provider Identifier is 1245675396, issued on May 2, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Sikeston, MO. The record was last updated on Sep 30, 2025.