Shirley B. Souder in Elkhart - Clinical

Shirley B. Souder - NPI 1891707048

Shirley B. Souder is a Clinical in Elkhart, Indiana. Shirley B. Souder practices all healthcare services and medical treatments related to Clinical. The NPI Number for Shirley B. Souder is 1891707048. The last update date is 2007-07-08.

Shirley B. Souder's current location address is 1750 Kilbourn St, Elkhart, Indiana. You can contact this provider via phone number 5742951613. The mailing address for Shirley B. Souder is 1750 Kilbourn St, Elkhart, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Shirley B. Souder
Address 1750 Kilbourn St, Elkhart, Indiana
Phone Number 5742951613
Fax Number
Sole Proprietor Y
Credentials M.S.W.

NPI Number Detail

NPI Number 1891707048
Provider Enumeration Date 2006-08-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1750 Kilbourn St
City Elkhart
State Indiana (IN)
Post Code 465141920
Phone Number 5742951613
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 34001303A
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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FAQs about Shirley B. Souder

What is the Shirley B. Souder's unique identification number?

The Shirley B. Souder has been assigned the NPI (National Provider Identifier) Number 1891707048 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Shirley B. Souder's physical address?

The Shirley B. Souder is physically located at 1750 Kilbourn St, in the city of Elkhart, IN, with the postal code 465141920.

What is Shirley B. Souder's area of expertise and its corresponding taxonomy classification?

The Shirley B. Souder's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.

On what date did the Shirley B. Souder receive its 1891707048 assignment from the Centers for Medicare & Medicaid Services?

The Shirley B. Souder was assigned its 1891707048 by the Centers for Medicare & Medicaid Services on 2006-08-13.

As of what date were the details pertaining to Shirley B. Souder last refreshed?

The information related to the Shirley B. Souder, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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