Shelby Rodgers, LCSW
Social Worker, Clinical in Oakdale, NY. Individual provider (NPI-1).
NPI number1982178638
StatusActive
Last updated in NPPESAug 15, 2022
Details
- NPI
- 1982178638
- Entity type
- Individual (NPI-1)
- Name
- Shelby Rodgers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 16, 2019
- Certification date
- Aug 15, 2022
- Last updated
- Aug 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
| 104100000X | Social Worker | 095734 | NY |
Practice location
405 Locust AveOakdale, NY 11769-1695
Phone 631-567-1626
Mailing address
405 Locust AveOakdale, NY 11769-1651
Phone 631-868-1255
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