Sheppard, Laura A

Sheppard, Laura A is an sole proprietor health care provider with primary practice located at 33 Highwood Rd , West Orange NJ 07052-4012. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Sheppard, Laura A can be contacted via phone (973) 736-1961.

Contact Information

Primary practice address
33 Highwood Rd West Orange NJ 07052-4012
Fax: (973) 243-2760
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC04507200 New Jersey

Profile Details

NPI number 1881738011
LBN Legal business name Sheppard, Laura A
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 19th, 2007
Last updated Jul 8th, 2007 - about 17 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 1881738011 NPPES
New Jersey Other P2359011 OXFORD PROVIDER ID
New Jersey Other 269166 OXFORD PROVIDER ID

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