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

KATHLEEN SHEPHERD

Active

KATHLEEN SHEPHERD is a Clinical Social Worker healthcare provider located in SAINT MARIES, Idaho. NPI 1306000575 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · SAINT MARIES, ID

Registration Details

NPI Number
1306000575
Provider Type
Individual
Gender
Female
NPI Issued
Jul 16, 2008 (17.905593179881 yrs)
Last Updated
Feb 26, 2015
License
LCSW-28880 (ID)

Practice Information

Address
622 W COLLEGE AVE STE 2
SAINT MARIES, ID, 838611822
Browse ID providers · Browse ZIP 83861
Phone
2052454363
Fax
2082454349
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in SAINT MARIES, ID

Name Credential NPI
MR. MICHAEL J LAPE LCSW 1447657432
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.