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Contact Information

SANDRA J SHIELDS, RN LCSW
775 JUSTIN RD
ROCKWALL, TX75087
 Phone: 972-772-4006
 Fax: 972-772-3547
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for SANDRA J SHIELDS · (Female)

NPI # 1790895704
Status Active
Credentials RN LCSW
Entity Individual
Enumeration date 08/30/2006
Last updated 09/16/2010 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 18416
  • TX License # 431448
  • TX Medicaid 00S40Y
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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