Provider Demographics
NPI:1386312635
Name:VONHOLTEN, SHIAN (LMSW)
Entity type:Individual
Prefix:
First Name:SHIAN
Middle Name:
Last Name:VONHOLTEN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:SHIAN
Other - Middle Name:
Other - Last Name:SWEARINGIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 125
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:MO
Mailing Address - Zip Code:65668-0125
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:111 N MAIN ST
Practice Address - Street 2:
Practice Address - City:URBANA
Practice Address - State:MO
Practice Address - Zip Code:65767-9152
Practice Address - Country:US
Practice Address - Phone:417-993-1002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-01
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker