Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. SUSAN R SHORE, MSW LICSW BCD
ActiveMS. SUSAN R SHORE, MSW LICSW BCD is a Clinical Social Worker healthcare provider located in EASTHAM, Massachusetts. NPI 1114084787 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · EASTHAM, MA
Registration Details
- NPI Number
- 1114084787
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 3, 2007 (19.595747809854 yrs)
- Last Updated
- Oct 7, 2015
- License
-
MA111248 (MA)
Practice Information
- Address
-
130A OLD ORCHARD RDEASTHAM, MA, 026422102Browse MA providers · Browse ZIP 02642
- Phone
- 5082559313
- Fax
- 5082559313
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in EASTHAM, MA
| Name | Credential | NPI |
|---|---|---|
| MRS. LUCY MORAEN CARLSEN | LICSW | 1306925094 |
| SUSAN HOULE | MSW | 1609027127 |
| ELLEN WATTERS SULLIVAN | LICSW | 1588994479 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.