North, Shawn Marie
North, Shawn Marie is an sole proprietor health care provider with primary practice located at 1219 Millennium Pkwy Ste 116, Brandon FL 33511-3891. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. North, Shawn Marie can be contacted via phone (630) 391-2035.Contact Information
Primary practice address
1219 Millennium Pkwy Ste 116
Brandon FL 33511-3891
Phone: (630) 391-2035
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW14061 | Florida |
Profile Details
| NPI number | 1861905986 |
|---|---|
| LBN Legal business name | North, Shawn Marie |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 10th, 2017 |
| Last updated | Jul 13th, 2019 - about 7 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 | 1861905986 | NPPES |
| Florida | MEDICAID | 020425900 |
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