Lafferty, Shelley Carroll

Lafferty, Shelley Carroll is an individual health care provider with primary practice located at 3265 Intertech Dr , Angola IN 46703-7325. 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. Lafferty, Shelley Carroll can be contacted via phone (260) 655-9494.

Contact Information

Primary practice address
3265 Intertech Dr Angola IN 46703-7325
Phone: (260) 655-9494
Fax: (260) 655-9496
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 3684G Alabama
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34007993A Indiana

Profile Details

NPI number 1871963504
LBN Legal business name Lafferty, Shelley Carroll
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2015
Last updated Jan 30th, 2018 - about 6 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 1871963504 NPPES
Alabama MEDICAID 330000014

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