Tabatha M. Shankle, LCSW
NPI 1245675396ActiveIndividual· Social Worker, Clinical· Sikeston, MO
Social Worker, Clinical (LCSW) in Sikeston, Missouri, trained at Southern Illinois University School of Medicine (class of 2008). Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1245675396 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | May 2, 2013 |
| Last updated in NPPES | Sep 30, 2025 |
| Certified by provider | Sep 30, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 2014030736 | MO |
| Social Worker, Clinical | 1041C0700X | 2012011602 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MO) |
|---|
Education and affiliations
| Medical school | Southern Illinois University School of Medicine |
|---|---|
| Graduation year | 2008 |
| Medicare specialty | Clinical Social Worker |
Medical group
- Bootheel Counseling ServicesSikeston, MO · 21 clinicians
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