Andrea M Shook is a Clinical in Sullivan, Indiana. Andrea M Shook practices all healthcare services and medical treatments related to Clinical. The NPI Number for Andrea M Shook is 1528007192. The last update date is 2007-07-20.
Andrea M Shook's current location address is 110 N French St, Sullivan, Indiana. You can contact this provider via phone number 8122684805 and fax number 8122422210. The mailing address for Andrea M Shook is 110 N French St, Sullivan, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrea M Shook |
|---|---|
| Address | 110 N French St, Sullivan, Indiana |
| Phone Number | 8122684805 |
| Fax Number | 8122422210 |
| Sole Proprietor | N |
| Credentials | MSW, LCSW |
NPI Number Detail
| NPI Number | 1528007192 |
|---|---|
| Provider Enumeration Date | 2006-06-06 |
| Last Updated Date | 2007-07-20 |
Provider Mailing Address Detail
| Address | 110 N French St |
|---|---|
| City | Sullivan |
| State | Indiana (IN) |
| Post Code | 478821424 |
| Phone Number | 8122684805 |
| Fax Number | 8122422210 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 34003254A |
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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 |
|---|---|---|---|
| 343921 | IN | ANTHEM BCBS PROVIDER PIN |
Post Comment/ Review Below
What is the Andrea M Shook's 1528007192?
The Andrea M Shook's NPI (National Provider Identifier) Number is 1528007192. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Andrea M Shook located?
The Andrea M Shook is located at 110 N French St, Sullivan, IN 478821424.
What is Andrea M Shook'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 Andrea M Shook is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
When did the Andrea M Shook receive its 1528007192?
The Andrea M Shook was issued its 1528007192 on 2006-06-06, which is the date when the organization was assigned this unique identifier.
As of what date were the Andrea M Shook's details last updated?
The information pertaining to the Andrea M Shook, including its address, specialty, and other details, was most recently updated on 2007-07-20.
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