Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TERRY SHAKE
ActiveTERRY SHAKE is a Social Worker healthcare provider located in BOISE, Idaho. NPI 1538791181 is currently active in the NPPES registry. Verify at CMS.
Social Worker · BOISE, ID
Registration Details
- NPI Number
- 1538791181
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 11, 2020 (6.4887264245278 yrs)
- Last Updated
- Feb 11, 2020
- Licenses
-
11416 (ID)33482 (ID)
Practice Information
- Address
-
9196 W BARNES DRBOISE, ID, 837091552Browse ID providers · Browse ZIP 83709
- Phone
- 2084330400
- Primary Specialty
-
Social Worker
104100000X
- Additional Specialty
- Social Worker
Other Social Worker Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| JEANNE MELTON | MSW | 1619986957 |
| MR. JOSHUA CHARLES BODE | LCSW | 1003826405 |
| MRS. NANCY LEE DANIELS | LMSW | 1386655827 |
| MR. THOMAS JAMES HOGAN | LMSW | 1043223720 |
| MR. DAVID A TEED | LCSW | 1437261401 |
| MS. GAIL M BACCHESCHI | MSW | 1154404341 |
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.