Mr. Kenneth L Shore, LCSW
Social Worker, Clinical in Raleigh, North Carolina
1871762641- Practice location
- 4112 Blue Ridge Road, 2ND Floor, Raleigh, NC 27612-4652
- Phone
- 919-573-6520
- Fax
- 919-573-6557
- Last updated
- February 26, 2008
Kenneth Louis Shore is a Social Worker, Clinical based in Raleigh, NC. Kenneth Louis Shore practices in Raleigh, NC and has the professional credentials of LCSW. The NPI Number for Kenneth Louis Shore is 1871762641 and holds a License No. C003006 (NC). The current practice location address for Kenneth Louis Shore is 4112 Blue Ridge Road, 2ND Floor, Raleigh, NC 27612-4652 and can be reached out via phone at 919-573-6520 and via fax at 919-573-6557.
Provider Profile Details
- NPI Number
- 1871762641
- Provider Name
- Kenneth Louis Shore
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 4112 Blue Ridge Road, 2ND Floor, Raleigh, NC 27612-4652
- Phone Number
- 919-573-6520
- Fax Number
- 919-573-6557
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 26, 2008
- Last Update Date
- February 26, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4112 Blue Ridge Road
2ND Floor
Raleigh, NC 27612-4652 - City
- Raleigh
- State
- North Carolina
- Zip
- 27612-4652
- Phone Number
- 919-573-6520
- Fax Number
- 919-573-6557
Provider Business Mailing Address Details
- Address
- 25 Blackstone Valley Place
Suite 300 Fellowship Health Resources INC
Lincoln, RI 02865-1163 - City
- Lincoln
- State
- RI
- Zip
- 02865-1163
- Phone Number
- 401-333-3980
- Fax Number
- 401-333-3980
License Information
- License Number
- C003006
- License State
- NC
- 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. | |||
Other Social Worker, Clinical providers near Raleigh, NC
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Frequently Asked Questions
What is the NPI number of Mr. Kenneth L Shore, LCSW?
The NPI number of Mr. Kenneth L Shore, LCSW is 1871762641. It was assigned on February 26, 2008 and is currently active in the NPPES registry.
What is the specialty of Mr. Kenneth L Shore, LCSW?
Mr. Kenneth L Shore, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NC under license number C003006.
Where does Mr. Kenneth L Shore, LCSW practice?
The practice location is 4112 Blue Ridge Road, 2ND Floor, Raleigh, NC 27612-4652. The office can be reached at 919-573-6520 (phone) or 919-573-6557 (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 1871762641 directly on the NPPES registry website.