| Shelby Cordeiro Lcsw Llc | |
|
342 N Queen Street Warehouse D Lancaster PA 17603 | |
| (223) 281-9400 | |
| Not Available |
| Full Name | Shelby Cordeiro Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 342 N Queen Street, Lancaster, Pennsylvania |
| Authorized Official Name and Position | Shelby Marie Cordeiro (OWNER) |
| Authorized Official Contact | 2232819400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shelby Cordeiro Lcsw Llc 342 N Queen Street Warehouse D Lancaster PA 17603 Ph: (223) 281-9400 | Shelby Cordeiro Lcsw Llc 342 N Queen Street Warehouse D Lancaster PA 17603 Ph: (223) 281-9400 |
| NPI Number | 1306629365 |
|---|---|
| Provider Enumeration Date | 08/15/2023 |
| Last Update Date | 09/05/2023 |
| Certification Date | 09/05/2023 |
| Medicare PECOS PAC ID | 0648625442 |
|---|---|
| Medicare Enrollment ID | O20231014000268 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306629365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Shelby Cordeiro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437810926 PECOS PAC ID: 1557716354 Enrollment ID: I20231014000282 |
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