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NPI Code Detail

MEDICARE: RACHANA SHAH LCSW

MEDICARE: RACHANA SHAH 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
11041C0700XClinical Social WorkerP009023NC
21041C0700XClinical Social WorkerC010622NC

General Provider Information

NPI Number : 1407221310
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHANA SHAH LCSW
Provider Business Mailing Address
First Line : 8604 CLIFF CAMERON DR STE 152
Second Line :
City : CHARLOTTE
State : NC
Zip : 28269-8526
Country : US
Telephone Number : 704-510-5600
Fax Number :
Provider Business Practice Location Address
First Line : 8604 CLIFF CAMERON DR STE 152
Second Line :
City : CHARLOTTE
State : NC
Zip : 28269-8526
Country : US
Telephone Number : 704-510-5600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2015
Last Update Date : 02/24/2020

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Directions to “ RACHANA SHAH LCSW” Practice Location

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