Shumaker, Carol Ann

Shumaker, Carol Ann is an individual health care provider with primary practice located at 8915 Sw Center St , Tigard OR 97223-6307. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Shumaker, Carol Ann can be contacted via phone (503) 726-3698.

Contact Information

Primary practice address
8915 Sw Center St Tigard OR 97223-6307
Phone: (503) 726-3698
Fax: (503) 726-3699
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW11569 Arizona
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Arizona

Profile Details

NPI number 1306024955
LBN Legal business name Shumaker, Carol Ann
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2008
Last updated Jul 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306024955 NPPES
Arizona MEDICAID 346214

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