Michael Shepherd, LCSW
Social Worker, Clinical in St. Albans, NY. Individual provider (NPI-1).
NPI number1982148094
StatusActive
Last updated in NPPESDec 8, 2016
Details
- NPI
- 1982148094
- Entity type
- Individual (NPI-1)
- Name
- Mr. Michael Shepherd
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 8, 2016
- Last updated
- Dec 8, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 084926-1 | NY | Yes |
Practice location
179-00 Linden Blvd. Bldg 91 Rm E241St. Albans E.C.C./Dept. Of Va
St. Albans, NY 11425
Phone 347-534-6898
Mailing address
179-00 Linden Blvd. Bldg 91 Rm E241St. Albans E.C.C./Dept. Of Va
St. Albans, NY 11425
Phone 347-534-6898
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