MARY SHANNON VANSTAVOREN (P-LCSW) – Mental Health Counselor, NPI 1689902397

MARY SHANNON VANSTAVOREN (P-LCSW) is a healthcare provider. based in Fort stewart, Georgia. specializing in Mental Health Counselor. They hold the professional credentials P-LCSW. They hold a License No. C007883 (NC). The NPI Number for MARY SHANNON VANSTAVOREN (P-LCSW) is 1689902397

Main info

Female
Name
MARY SHANNON VANSTAVOREN (P-LCSW)
NPI
1689902397
Phone
(912) 435-6965
Address
1061 HARMON AVENUE
Enumeration Date
19 November 2009
Last Update Date
17 November 2015
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

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Provider Addresses for MARY SHANNON VANSTAVOREN (P-LCSW)

  • Winn Army Community Hospital, 1061, Harmon Avenue, Bowen, Fort Stewart, Liberty County, Georgia, 31314, United States

    SUITE 1D03

    FORT STEWART, GA 313145674

    Phone: (912) 435-6965

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-10-06

PECOS data refreshed: 2026-05-27

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31314)

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Reviews

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Frequently asked questions

Where can patients find MARY SHANNON VANSTAVOREN (P-LCSW)'s NPI?
You can confirm MARY SHANNON VANSTAVOREN (P-LCSW) with NPI 1689902397; it appears in the national provider directory.
Is MARY SHANNON VANSTAVOREN (P-LCSW) currently active in the NPI registry?
CMS-published data lists MARY SHANNON VANSTAVOREN (P-LCSW) as an active registrant.
What field does MARY SHANNON VANSTAVOREN (P-LCSW) work in?
You can think of MARY SHANNON VANSTAVOREN (P-LCSW) as practicing within Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where does public data place MARY SHANNON VANSTAVOREN (P-LCSW)?
The snapshot lists Fort Stewart, Georgia for MARY SHANNON VANSTAVOREN (P-LCSW); download NPPES for the complete set.
Is MARY SHANNON VANSTAVOREN (P-LCSW) a real provider?
This page reflects official NPPES data for NPI 1689902397. Always confirm identity and privileges with the practice and licensing boards.

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