Shelby Lynne Bowlds
Individual provider Active NPI Social Worker · Williston, ND
NPI 1740779602 · NPPES record last updated May 7, 2018
Key facts
- NPI
- 1740779602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- WRAP00000 (ND)
- Practice address
- 110 W Broadway Ste 202
Williston, ND 58801-6056 - Phone
- (701) 774-6300
- NPI assigned
- May 7, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| WRAP00000 | ND | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Williams County Social Services | Past | Accepting new patients | |
| Williams County Social Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | WRAP00000 | ND | Yes |
Addresses
Primary practice location
110 W Broadway Ste 202
Williston, ND 58801-6056
Mailing address
110 W Broadway Ste 202
Williston, ND 58801-6056
Phone (701) 774-6300
Other providers in Williston, ND
- Elizabeth Boots
- Tonja Bopp
- Emma Boreson
- Lisa J.W. Borreson
- Kari Elizabeth Boston
- Susan Mae Bradford
- Alina Bradish
- Emilee T Brannan
- Jordan Braun
- Cami S Bren
All providers in Williston, ND · Social Worker in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2018. 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.