Mr Shon Lorin Shuldberg, LCSW is a
Counselor - Mental Health based in Idaho Falls, Idaho. Mr Shon Lorin Shuldberg is licensed to practice in Idaho (license number LCSW-28863) and his current practice location is
1277 E 17th St, Idaho Falls, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 523-0787.
NPI number for Mr Shon Lorin Shuldberg is 1326212002 and his current mailing address is 1301 E 17th St, Ste 4, Idaho Falls, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1326212002.
Healthcare Provider's Profile
| Full Name | Mr Shon Lorin Shuldberg |
|---|
| Gender | Male |
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| Speciality | Counselor - Mental Health |
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| Location | 1277 E 17th St, Idaho Falls, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1326212002
- Provider Enumeration Date: 04/15/2008
- Last Update Date: 06/20/2018
Medical Identifiers
Medical identifiers for Mr Shon Lorin Shuldberg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326212002 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | LCSW-28863 (Idaho) | Secondary |
| 101YM0800X | Counselor - Mental Health | LCSW-28863 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Shon Lorin Shuldberg is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Shon Lorin Shuldberg, LCSW
1301 E 17th St, Ste 4,
Idaho Falls, ID 83404-6273
Ph: (208) 523-0787 | Mr Shon Lorin Shuldberg, LCSW
1277 E 17th St,
Idaho Falls, ID 83404-6126
Ph: (208) 523-0787 |
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