Goscha, Shelly Sue

Goscha, Shelly Sue is an individual health care provider with primary practice located at 5170 Golden Foothill Pkwy , El Dorado Hills CA 95762-9608. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Goscha, Shelly Sue can be contacted via phone (785) 766-1885.

Contact Information

Primary practice address
5170 Golden Foothill Pkwy El Dorado Hills CA 95762-9608
Phone: (785) 766-1885
Fax: (916) 235-5843
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 80263 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1980 Kansas

Profile Details

NPI number 1750711719
LBN Legal business name Goscha, Shelly Sue
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2013
Last updated Feb 20th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750711719 NPPES
California MEDICAID 1750711719

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