Shelby Mehmet, BSW
Individual provider Active NPI Social Worker · Essex, CT
NPI 1104428044 · NPPES record last updated Nov 16, 2020
Key facts
- NPI
- 1104428044
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 190 Westbrook Rd
Essex, CT 06426-1518 - Phone
- (860) 701-3776
- NPI assigned
- Nov 16, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
190 Westbrook Rd
Essex, CT 06426-1518
Mailing address
255 Hempstead St
New London, CT 06320-6290
Phone (860) 443-2896
Other providers in Essex, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2020. 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.