Erickson, Shannon L
Erickson, Shannon L is an sole proprietor health care provider with primary practice located at 8022 Old County Road 54 , New Port Richey FL 34653-6409. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Erickson, Shannon L can be contacted via phone (727) 641-7941.Contact Information
Primary practice address
8022 Old County Road 54
New Port Richey FL 34653-6409
Phone: (727) 641-7941
Fax: (727) 287-9302
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW5729 | Florida |
Profile Details
| NPI number | 1760403323 |
|---|---|
| LBN Legal business name | Erickson, Shannon L |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Oct 18th, 2022 - about 2 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 | 1760403323 | NPPES |
| Florida | MEDICAID | 761762300 |
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