Shelby Jane John is a Clinical in Fallston, Maryland. Shelby Jane John practices all healthcare services and medical treatments related to Clinical. The NPI Number for Shelby Jane John is 1881882165. The last update date is 2014-10-01.
Shelby Jane John's current location address is 2410 Chatau Ct, Fallston, Maryland. You can contact this provider via phone number 4109371386. The mailing address for Shelby Jane John is 2410 Chatau Ct, Fallston, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shelby Jane John |
|---|---|
| Address | 2410 Chatau Ct, Fallston, Maryland |
| Phone Number | 4109371386 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MSW, LCSW- |
NPI Number Detail
| NPI Number | 1881882165 |
|---|---|
| Provider Enumeration Date | 2007-10-11 |
| Last Updated Date | 2014-10-01 |
Provider Mailing Address Detail
| Address | 2410 Chatau Ct |
|---|---|
| City | Fallston |
| State | Maryland (MD) |
| Post Code | 210472318 |
| Phone Number | 4109371386 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 13592 |
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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 |
|---|---|---|---|
| 414765100 | MD | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Shelby Jane John by the Centers for Medicare & Medicaid Services?
The Shelby Jane John has been assigned the NPI (National Provider Identifier) 1881882165 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Shelby Jane John?
The Shelby Jane John is physically situated at 2410 Chatau Ct, in the city of Fallston, state of MD, with the postal code 210472318.
What is the Shelby Jane John's area of specialization and corresponding taxonomy classification?
The Shelby Jane John's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
When did Shelby Jane John receive its 1881882165 assignment?
The Shelby Jane John was assigned its 1881882165 on 2007-10-11, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Shelby Jane John, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Shelby Jane John, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-10-01.