Shelly Perry in Benton Harbor - Clinical

Shelly Perry - NPI 1013066638

Shelly Perry is a Clinical in Benton Harbor, Michigan. Shelly Perry practices all healthcare services and medical treatments related to Clinical. The NPI Number for Shelly Perry is 1013066638. The last update date is 2007-07-08.

Shelly Perry's current location address is 1850 Colfax Ave, Benton Harbor, Michigan. You can contact this provider via phone number 2699266199 and fax number 2699266780. The mailing address for Shelly Perry is 1850 Colfax Ave, Benton Harbor, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Shelly Perry
Address 1850 Colfax Ave, Benton Harbor, Michigan
Phone Number 2699266199
Fax Number 2699266780
Sole Proprietor N
Credentials CSW

NPI Number Detail

NPI Number 1013066638
Provider Enumeration Date 2007-01-10
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1850 Colfax Ave
City Benton Harbor
State Michigan (MI)
Post Code 490226753
Phone Number 2699266199
Fax Number 2699266780

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 6801069556
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 Shelly Perry

What is the unique 10-digit identification code assigned to Shelly Perry by the Centers for Medicare & Medicaid Services?

The Shelly Perry has been issued the NPI (National Provider Identifier) 1013066638, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Shelly Perry is physically located?

The Shelly Perry is physically situated at the following address: 1850 Colfax Ave, Benton Harbor, MI, 490226753.

What is Shelly Perry's area of expertise and its corresponding taxonomy classification?

The Shelly Perry'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 Centers for Medicare & Medicaid Services assign the 1013066638 to Shelly Perry?

The Centers for Medicare & Medicaid Services assigned the 1013066638 to Shelly Perry on 2007-01-10.

As of what date were the Shelly Perry's details last updated?

The information pertaining to the Shelly Perry, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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