Joetta A. Shepherd in Winston Salem - Clinical
Joetta A. Shepherd - NPI 1760588057
Joetta A. Shepherd is a Clinical in Winston Salem, North Carolina. Joetta A. Shepherd practices all healthcare services and medical treatments related to Clinical. The NPI Number for Joetta A. Shepherd is 1760588057. The last update date is 2007-07-08.
Joetta A. Shepherd's current location address is 610 Coliseum Dr, Winston Salem, North Carolina. You can contact this provider via phone number 3367228173 and fax number 3377246491. The mailing address for Joetta A. Shepherd is 610 Coliseum Dr, Winston Salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joetta A. Shepherd |
|---|---|
| Address | 610 Coliseum Dr, Winston Salem, North Carolina |
| Phone Number | 3367228173 |
| Fax Number | 3377246491 |
| Sole Proprietor | N |
| Credentials | MSW, LCSW |
NPI Number Detail
| NPI Number | 1760588057 |
|---|---|
| Provider Enumeration Date | 2006-09-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 610 Coliseum Dr |
|---|---|
| City | Winston Salem |
| State | North Carolina (NC) |
| Post Code | 271065325 |
| Phone Number | 3367228173 |
| Fax Number | 3377246491 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | C000101 |
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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 |
|---|---|---|---|
| 6003376 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Joetta A. Shepherd by the Centers for Medicare & Medicaid Services?
The Joetta A. Shepherd has been assigned the NPI (National Provider Identifier) 1760588057 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Joetta A. Shepherd is located?
The Joetta A. Shepherd is situated at the following address: 610 Coliseum Dr, Winston Salem, NC, 271065325.
What is Joetta A. Shepherd's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Joetta A. Shepherd is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date was the 1760588057 assigned to Joetta A. Shepherd?
The Joetta A. Shepherd was issued its 1760588057 on 2006-09-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Joetta A. Shepherd most recently updated or revised?
The information pertaining to Joetta A. Shepherd, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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