Greenbaum, Shelley Robin
Greenbaum, Shelley Robin is an sole proprietor health care provider with primary practice located at 111 Farris St Trlr 37 , Carlsbad NM 88220-5946. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Greenbaum, Shelley Robin can be contacted via phone (505) 885-4001.Contact Information
Primary practice address
111 Farris St Trlr 37
Carlsbad NM 88220-5946
Phone: (505) 885-4001
Fax: (505) 887-6437
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I-3442 | New Mexico |
Profile Details
| NPI number | 1558579581 |
|---|---|
| LBN Legal business name | Greenbaum, Shelley Robin |
| Credentials | LISW,LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 21st, 2007 |
| Last updated | Jul 9th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558579581 | NPPES |
| New Mexico | MEDICAID | 000S6371 |
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