Robert C. Shepard, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW00006273 Issued in WA

Practice address

1124 W Riverside Ave
LL2
Spokane, WA 99201-1132

Phone

(509) 455-8819

Fax

(509) 455-8903

NPI assigned

Mar 8, 2006

Last updated

Mar 29, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269820800000",
    "number": "1770550774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 W RIVERSIDE AVE",
            "address_2": "LL2",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992011132",
            "telephone_number": "509-455-8819",
            "fax_number": "509-455-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 W RIVERSIDE AVE",
            "address_2": "LL2",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992011132",
            "telephone_number": "509-455-8819",
            "fax_number": "509-455-8903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "ROBERT",
        "middle_name": "C.",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2010-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00006273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariedilia Shelton
• Shawna M. Shelton, M.ED., M.S., LMHC
• Arvind Michael Shenoy, M.D.
• Vimal B Shenoy
• Erica Shepard
• Paula Jean Shepherd, M.D.
• Kristy Sheppard
• Tracey Ann Sheppard
• Darci Lynn Sheridan, MSW
• Mary E Sheridan, PA-C

• Clinical Social Worker in Spokane, WA
• Providers in Spokane, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.