Suzanne Shellabarger Harrell, LCSW
Individual provider Active NPI Clinical Social Worker · Crawfordville, FL
NPI 1013773126 · NPPES record last updated Feb 26, 2024
Key facts
- NPI
- 1013773126
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- SW4865 (FL)
- Practice address
- 2115 Shadeville Rd
Crawfordville, FL 32327-1407 - Phone
- (850) 228-2223
- NPI assigned
- Feb 26, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW4865 | FL | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW4865 | FL | Yes |
Addresses
Primary practice location
2115 Shadeville Rd
Crawfordville, FL 32327-1407
Mailing address
2115 Shadeville Rd
Crawfordville, FL 32327-1407
Phone (850) 228-2223
Other providers in Crawfordville, FL
- Hezekiah Gross
- Natasha Katrina Gross
- Sarah Halvorsen
- Jill Hanks
- Marko Hanna
- Judy A Harris
- Terryann Onika Harry
- Angela Hayes
- Long Her
- Matt Higgins
All providers in Crawfordville, FL · Clinical Social Worker in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.