Judy M Shepherd is a Clinical in Apollo Beach, Florida. Judy M Shepherd practices all healthcare services and medical treatments related to Clinical. The NPI Number for Judy M Shepherd is 1154475002. The last update date is 2007-07-08.
Judy M Shepherd's current location address is 5706 Tides Place, Apollo Beach, Florida. You can contact this provider via phone number 8137464900. The mailing address for Judy M Shepherd is 5706 Tides Place, Apollo Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judy M Shepherd |
|---|---|
| Address | 5706 Tides Place, Apollo Beach, Florida |
| Phone Number | 8137464900 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1154475002 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5706 Tides Place |
|---|---|
| City | Apollo Beach |
| State | Florida (FL) |
| Post Code | 33572 |
| Phone Number | 8137464900 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | SW 1749 |
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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 |
|---|---|---|---|
| Z045E | FL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Judy M Shepherd by the Centers for Medicare & Medicaid Services (CMS)?
The Judy M Shepherd has been assigned the NPI (National Provider Identifier) 1154475002. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Judy M Shepherd is located?
The Judy M Shepherd is situated at the following address: 5706 Tides Place, Apollo Beach, FL, 33572.
What is Judy M Shepherd's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Judy M Shepherd's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1154475002 to Judy M Shepherd?
The Centers for Medicare & Medicaid Services assigned the 1154475002 to Judy M Shepherd on 2007-01-22.
As of what date was the information pertaining to Judy M Shepherd, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Judy M Shepherd, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.