Wilma Leardean Shepard in San Bernardino - Clinical
Wilma Leardean Shepard - NPI 1225156797
Wilma Leardean Shepard is a Clinical in San Bernardino, California. Wilma Leardean Shepard practices all healthcare services and medical treatments related to Clinical. The NPI Number for Wilma Leardean Shepard is 1225156797. The last update date is 2007-07-08.
Wilma Leardean Shepard's current location address is 1963 North E Street, San Bernardino, California. You can contact this provider via phone number 9098816146 and fax number 9098810111. The mailing address for Wilma Leardean Shepard is 1963 North E Street, San Bernardino, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wilma Leardean Shepard |
|---|---|
| Address | 1963 North E Street, San Bernardino, California |
| Phone Number | 9098816146 |
| Fax Number | 9098810111 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1225156797 |
|---|---|
| Provider Enumeration Date | 2007-03-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1963 North E Street |
|---|---|
| City | San Bernardino |
| State | California (CA) |
| Post Code | 92405 |
| Phone Number | 9098816146 |
| Fax Number | 9098810111 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS22776 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| FHC70520F | CA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Wilma Leardean Shepard?
The Wilma Leardean Shepard has been issued the NPI (National Provider Identifier) 1225156797 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Wilma Leardean Shepard's facilities are situated?
The facilities of Wilma Leardean Shepard are physically located at the following address: 1963 North E Street, San Bernardino, CA, 92405.
What is the Wilma Leardean Shepard's specialty and taxonomy code?
The Wilma Leardean Shepard's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Wilma Leardean Shepard receive the assignment of its 1225156797 from the Centers for Medicare & Medicaid Services?
The Wilma Leardean Shepard was issued its 1225156797 by the Centers for Medicare & Medicaid Services on 2007-03-26.
As of what date was the information regarding Wilma Leardean Shepard, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Wilma Leardean Shepard, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.