Active NPIIndividual provider

Shelley M Ware, LCSW

Social Worker, Clinical in Broken Arrow, Oklahoma

NPI Number1225508617
Practice location
1513 S 31ST St, Broken Arrow, OK 74014-5041
Fax
—
Last updated
October 9, 2020

Shelley M Ware is a Social Worker, Clinical based in Broken Arrow, OK. Shelley M Ware practices in Broken Arrow, OK and has the professional credentials of LCSW. The NPI Number for Shelley M Ware is 1225508617 and holds a License No. 222336 (MA). The current practice location address for Shelley M Ware is 1513 S 31ST St, Broken Arrow, OK 74014-5041 and can be reached out via phone at 774-535-2804.

Provider Profile Details

NPI Number
1225508617
Provider Name
Shelley M Ware
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
1513 S 31ST St, Broken Arrow, OK 74014-5041
Phone Number
774-535-2804
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
November 28, 2018
Last Update Date
October 9, 2020
Certification Date
October 9, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1513 S 31ST St
Broken Arrow, OK 74014-5041
Zip
74014-5041
Phone Number
774-535-2804
Broken Arrow, OK 74014Get directions →

Provider Business Mailing Address Details

Address
1513 S 31ST St
Broken Arrow, OK 74014-5041
City
Broken Arrow
State
OK
Zip
74014-5041
Phone Number
774-535-2804

License Information

License Number (1)
222336
License State (1)
MA
Taxonomy (1)
Social Worker · 104100000X
License Number (2)
122447
License State (2)
MA
Taxonomy (2)
Social Worker, Clinical · 1041C0700X
License Number (3)
CSW02357
License State (3)
RI
Taxonomy (3)
Social Worker, Clinical · 1041C0700X
License Number (4)
7190
License State (4)
OK
Taxonomy (4)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Shelley M Ware, LCSW?

The NPI number of Shelley M Ware, LCSW is 1225508617. It was assigned on November 28, 2018 and is currently active in the NPPES registry.

What is the specialty of Shelley M Ware, LCSW?

Shelley M Ware, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 222336.

Where does Shelley M Ware, LCSW practice?

The practice location is 1513 S 31ST St, Broken Arrow, OK 74014-5041. The office can be reached at 774-535-2804 (phone).

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 1225508617 directly on the NPPES registry website.

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