Schultz, Shannon Marie

Schultz, Shannon Marie is an individual health care provider with primary practice located at 795 Willow Rd # 180D , Menlo Park CA 94025-2539. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Schultz, Shannon Marie can be contacted via phone (650) 269-5945.

Contact Information

Primary practice address
795 Willow Rd # 180D Menlo Park CA 94025-2539
Phone: (650) 269-5945
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 19188 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS 25127 California

Profile Details

NPI number 1902001266
LBN Legal business name Schultz, Shannon Marie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2007
Last updated Feb 7th, 2011 - about 13 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 1902001266 NPPES
California Other 19188 ASW
California Other LCS 25127 ASW

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