DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARIE THERESA SHACKELFORD, LCSW

Active

MARIE THERESA SHACKELFORD, LCSW is a Clinical Social Worker healthcare provider located in BOISE, Idaho. NPI 1174068217 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · BOISE, ID

Registration Details

NPI Number
1174068217
Provider Type
Individual
Gender
Female
NPI Issued
Dec 28, 2016 (9.6467217982289 yrs)
Last Updated
Dec 28, 2016
License
LCSW36042 (ID)

Practice Information

Address
600 N ROBBINS RD
BOISE, ID, 837024565
Browse ID providers · Browse ZIP 83702
Phone
2083853245
Fax
2084894053
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in BOISE, ID

Name Credential NPI
MR. ROBERT LEE FRANKLIN LCSW 1588659676
MRS. JANE ELIZABETH KRUMM MSW 1578559308
GAIL E BAKER LCSW 1124091210
MELISSA ANN MEZO LCSW 1154380715
CLAUDIA GAYLE CURRIE-MILLS LCSW 1619936176
WILLIAM MARTIN VOGEL LCSW 1922068063
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.