Reginald Harrison Shockley Sr, LCSW-C is a
Social Worker - Clinical based in Salisbury, Maryland. Reginald Harrison Shockley Sr is licensed to practice in Maryland (license number 24065) and his current practice location is
106 Milford St Ste 201, Salisbury, Maryland. He can be reached at his office (for appointments etc.) via phone at
(410) 334-6961.
NPI number for Reginald Harrison Shockley Sr is 1619046919 and his current mailing address is 34462 Fox Hound Ct, Parsonsburg, Maryland. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619046919.
Healthcare Provider's Profile
| Full Name | Reginald Harrison Shockley Sr |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 106 Milford St Ste 201, Salisbury, Maryland |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619046919
- Provider Enumeration Date: 11/08/2006
- Last Update Date: 07/24/2018
Medical Identifiers
Medical identifiers for Reginald Harrison Shockley Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1619046919 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 24065 (Maryland) | 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. Reginald Harrison Shockley Sr 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 |
Reginald Harrison Shockley Sr, LCSW-C 34462 Fox Hound Ct, Parsonsburg, MD 21849-2676 Ph: (443) 614-5360 | Reginald Harrison Shockley Sr, LCSW-C 106 Milford St Ste 201, Salisbury, MD 21804 Ph: (410) 334-6961 |
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