Lori T Shallcross in Winter Park - Clinical
Lori T Shallcross - NPI 1417911785
Lori T Shallcross is a Clinical in Winter Park, Florida. Lori T Shallcross practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lori T Shallcross is 1417911785. The last update date is 2007-07-09.
Lori T Shallcross's current location address is 1450 Bonnie Burn Cir, Winter Park, Florida. You can contact this provider via phone number 3523945922 and fax number 3523606582. The mailing address for Lori T Shallcross is 1450 Bonnie Burn Cir, Winter Park, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lori T Shallcross |
|---|---|
| Address | 1450 Bonnie Burn Cir, Winter Park, Florida |
| Phone Number | 3523945922 |
| Fax Number | 3523606582 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1417911785 |
|---|---|
| Provider Enumeration Date | 2006-04-13 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1450 Bonnie Burn Cir |
|---|---|
| City | Winter Park |
| State | Florida (FL) |
| Post Code | 327895703 |
| Phone Number | 3523945922 |
| Fax Number | 3523606582 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | SW 6675 |
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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 |
|---|---|---|---|
| Z090N | FL | BLUE CROSS BLUE SHIELD # |
Post Comment/ Review Below
What is the Lori T Shallcross's unique identification number?
The Lori T Shallcross has been assigned the NPI (National Provider Identifier) Number 1417911785 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Lori T Shallcross's facilities are situated?
The facilities of Lori T Shallcross are physically located at the following address: 1450 Bonnie Burn Cir, Winter Park, FL, 327895703.
What is Lori T Shallcross's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Lori T Shallcross is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1417911785 to Lori T Shallcross?
The Centers for Medicare & Medicaid Services assigned the 1417911785 to Lori T Shallcross on 2006-04-13.
As of what date was the information regarding Lori T Shallcross, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lori T Shallcross, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-09.
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