Ms. Susan R Shore, MSW LICSW BCD
Social Worker, Clinical in Eastham, Massachusetts
1114084787- Practice location
- 130A Old Orchard RD, Eastham, MA 02642-2102
- Phone
- 508-255-9313
- Fax
- 508-255-9313
- Last updated
- October 7, 2015
Susan R Shore is a Social Worker, Clinical based in Eastham, MA. Susan R Shore practices in Eastham, MA and has the professional credentials of MSW LICSW BCD. The NPI Number for Susan R Shore is 1114084787 and holds a License No. MA111248 (MA). The current practice location address for Susan R Shore is 130A Old Orchard RD, Eastham, MA 02642-2102 and can be reached out via phone at 508-255-9313 and via fax at 508-255-9313.
Provider Profile Details
- NPI Number
- 1114084787
- Provider Name
- Susan R Shore
- Credential
- MSW LICSW BCD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 130A Old Orchard RD, Eastham, MA 02642-2102
- Phone Number
- 508-255-9313
- Fax Number
- 508-255-9313
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 3, 2007
- Last Update Date
- October 7, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 130A Old Orchard RD
Eastham, MA 02642-2102 - City
- Eastham
- State
- Massachusetts
- Zip
- 02642-2102
- Phone Number
- 508-255-9313
- Fax Number
- 508-255-9313
Provider Business Mailing Address Details
- Address
- 130A Old Orchard RD
Eastham, MA 02642-2102 - City
- Eastham
- State
- MA
- Zip
- 02642-2102
- Phone Number
- 508-255-9313
- Fax Number
- 508-255-9313
License Information
- License Number
- MA111248
- License State
- MA
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ms. Susan R Shore, MSW LICSW BCD?
The NPI number of Ms. Susan R Shore, MSW LICSW BCD is 1114084787. It was assigned on January 3, 2007 and is currently active in the NPPES registry.
What is the specialty of Ms. Susan R Shore, MSW LICSW BCD?
Ms. Susan R Shore, MSW LICSW BCD is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number MA111248.
Where does Ms. Susan R Shore, MSW LICSW BCD practice?
The practice location is 130A Old Orchard RD, Eastham, MA 02642-2102. The office can be reached at 508-255-9313 (phone) or 508-255-9313 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114084787 directly on the NPPES registry website.