Shields, Misty Sue

Shields, Misty Sue is an individual health care provider with primary practice located at 7180 Highland Dr , Pittsburgh PA 15206-1206. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Other Service Providers / Specialist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Shields, Misty Sue can be contacted via phone (724) 954-4194.

Contact Information

Primary practice address
7180 Highland Dr Pittsburgh PA 15206-1206
Phone: (724) 954-4194
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X SW126028 Pennsylvania
Other Service Providers / Specialist 174400000X CW016341 Pennsylvania
Other Service Providers / Specialist 174400000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW016341 Pennsylvania

Profile Details

NPI number 1457335952
LBN Legal business name Shields, Misty Sue
Credentials M.S.W., L.C.S.W
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Jul 15th, 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 1457335952 NPPES
Pennsylvania MEDICAID 328834A336348
Pennsylvania MEDICAID 1007288440088

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