NPI 1699520270 · live from the CMS NPI Registry
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Social Worker, Clinical in Shepherdstown, WV. National Provider Identifier 1699520270, active.
NPI record
| NPI | 1699520270 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 207 S Princess St, Shepherdstown, WV 25443 |
| Practice phone | 681-900-3002 |
| Mailing address | Po Box 1402, Shepherdstown, WV 25443 |
| Enumerated | April 18, 2024 |
| Last updated | April 18, 2024 |
| Authorized official | Ashley Shepard, Executive Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | — |
| Psychologist, Clinical | 103TC0700X | — |
| Social Worker, Clinical primary | 1041C0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.