MEDICARE: CLAIRE SHEPARDSON

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	101YM0800X	Mental Health Counselor	8521-226	WI

General Provider Information

NPI Number	:	1689561862
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAIRE SHEPARDSON

Provider Business Mailing Address
First Line	:	5609 MEDICAL CIR STE 201
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53719-1228
Country	:	US
Telephone Number	:	608-514-1625
Fax Number	:	608-398-8881

Provider Business Practice Location Address
First Line	:	5609 MEDICAL CIR STE 201
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53719-1228
Country	:	US
Telephone Number	:	608-514-1625
Fax Number	:	608-398-8881

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

Provider Enumeration Date	:	06/20/2025
Last Update Date	:	06/20/2025

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Directions to “ CLAIRE SHEPARDSON ” Practice Location

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