Katrina Shepard Licsw, Llc

LBN: Katrina Shepard Licsw, Llc
Katrina Shepard Licsw, Llc is an health care organization with primary practice located at 165 Whitwell St Unit 2 , Quincy MA 02169-1832. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Katrina Shepard Licsw, Llc can be contacted via phone (617) 657-3425, or through Shepard, Katrina via phone (617) 657-3425.

Contact Information

Primary practice address
165 Whitwell St Unit 2 Quincy MA 02169-1832
Fax:
Website:
Authorized official contact:
Name: Shepard, Katrina LICSW

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1578137113
LBN Legal business name Katrina Shepard Licsw, Llc
DBA Doing business as
Authorized official Shepard, Katrina LICSW
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2021
Last updated May 18th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1578137113 NPPES
Massachusetts Other 123451 LICENSE

Popular Providers