Shah, Amelia Louise

Shah, Amelia Louise is an individual health care provider with primary practice located at 4445 Talbot Rd S , Renton WA 98055-6219. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Shah, Amelia Louise can be contacted via phone (425) 690-3414.

Contact Information

Primary practice address
4445 Talbot Rd S Renton WA 98055-6219
Phone: (425) 690-3414
Fax: (425) 690-9414
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X LW61100371 Washington
Behavioral Health & Social Service Providers / Clinical 1041C0700X LW61100371 Washington

Profile Details

NPI number 1750655577
LBN Legal business name Shah, Amelia Louise
Credentials Bachelor of Social Work (BSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2012
Last updated Jul 24th, 2023 - about 3 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 1750655577 NPPES
Washington MEDICAID 210012

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