Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1033971577 Individual Practitioner Male Practitioner

Shane Liedeke

Peer Specialist • Cassopolis, MI

Professional Overview & Biography Verified Profile Summary

Shane Liedeke is a registered healthcare professional specializing in Peer Specialist in Cassopolis, MI. Practice services are available at 1124 AUSTIN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1124 Austin

Cassopolis, MI 490318310

Telephone 2692285188
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Cassopolis, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
4 Specialists

Practicing in Cassopolis, MI (1765 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-01-30
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Kristina Martinez

Counselor - Mental Health

NPI 1255003430
Lori Smith

Social Worker

NPI 1487384996
Dawna Heiliger

Social Worker

NPI 1538821400
Kristin Acosta , BS, CAADC-DP

Case Manager/Care Coordinator

NPI 1619730900

Bachelor of Science, CAADCDP

NPI 1730851965

Limited Licensed Master Social Worker

NPI 1801483631

Master of Social Work

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 30, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location January 30, 2024

Registered at 1124 AUSTIN, CASSOPOLIS, MI 490318310 (Tel: 2692285188)

📍
Updated Business Mailing Address January 30, 2024

Registered at 960 M 60 E, CASSOPOLIS, MI 490319339

👤
Provider Name / Credentials Updated January 30, 2024

Recorded as SHANE LIEDEKE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2024

Peer Specialist

🟢
Initial NPI Registration & Enumeration January 30, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033971577
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 30, 2024
Last Update: January 30, 2024
Sole Proprietor: No

Mailing Address

960 M 60 E

Cassopolis, MI 490319339

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.