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

RENITA SHORES-GASTON

Active Organization

RENITA SHORES-GASTON is a Clinical Social Worker organization located in ROCKFORD, Illinois. NPI 1518421577 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · ROCKFORD, IL

Registration Details

NPI Number
1518421577
Provider Type
Organization
NPI Issued
Jan 24, 2019 (7.5737820259627 yrs)
Last Updated
Sep 26, 2022

Practice Information

Address
5844 ELAINE DR STE 101
ROCKFORD, IL, 611082494
Browse IL providers · Browse ZIP 61108
Phone
8153733027
Primary Specialty
Clinical Social Worker
1041C0700X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.