Ethelle Shatz, MSW
Individual provider Active NPI Clinical Social Worker · Rowayton, CT
NPI 1992874580 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992874580
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 000347 (CT)
- Practice address
- 8 Harstrom PL
Rowayton, CT 06853 - Phone
- (203) 838-0167
- NPI assigned
- Nov 7, 2006
- 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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000347 | CT | MD | Advanced Practice Midwife |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 000347 | CT | Yes |
Addresses
Primary practice location
8 Harstrom PL
Rowayton, CT 06853
Mailing address
8 Harstrom PL
Rowayton, CT 06853
Phone (203) 838-0167
Other providers in Rowayton, CT
All providers in Rowayton, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.