MARIE THERESA SHACKELFORD LCSW
NPI 1174068217
Social Worker - Clinical in Boise, ID
About Marie Theresa Shackelford Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIE THERESA SHACKELFORD LCSW (NPI 1174068217) is an individual clinical provider in Boise, Idaho, licensed in Idaho (LCSW36042) and active in the NPI registry since December 2016.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BOISE, ID 83702
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Marie Shackelford's NPI number?
The NPI number for Marie Shackelford is 1174068217. It was assigned to this individual provider in the NPPES registry on December 28, 2016.
Where is Marie Shackelford located?
Marie Shackelford practices at 600 N Robbins Rd, Boise, ID 83702. The listed phone number is (208) 385-3245.
What is Marie Shackelford's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
When was this NPI record last updated?
The NPPES record for Marie Shackelford was last updated on December 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.