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NPI Code Detail

MEDICARE: SHELLY R TRIMBLE LISW

MEDICARE:   SHELLY R TRIMBLE  LISW
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
11041C0700XClinical Social Worker113151TX
21041C0700XClinical Social WorkerI0500072OH

General Provider Information

NPI Number : 1013927060
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELLY R TRIMBLE LISW
Provider Business Mailing Address
First Line : PO BOX 327
Second Line :
City : SAINT HEDWIG
State : TX
Zip : 78152-0327
Country : US
Telephone Number : 214-382-3197
Fax Number :
Provider Business Practice Location Address
First Line : PO BOX 327
Second Line :
City : SAINT HEDWIG
State : TX
Zip : 78152-0327
Country : US
Telephone Number : 214-382-3197
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2006
Last Update Date : 08/10/2025

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Directions to “ SHELLY R TRIMBLE LISW” Practice Location

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