MEDICARE: MS. SHKERAH BELL LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	MSW004898	GA

General Provider Information

NPI Number	:	1235439407
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHKERAH BELL LCSW

Provider Business Mailing Address
First Line	:	PO BOX 671792
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30006-0030
Country	:	US
Telephone Number	:	404-992-8715
Fax Number	:

Provider Business Practice Location Address
First Line	:	1427 WINDY RIDGE LN SE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30339-2447
Country	:	US
Telephone Number	:	404-992-8715
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/22/2010
Last Update Date	:	01/21/2023

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