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NPI Code Detail

MEDICARE: SHIRLEY BARCLAY LCSW

MEDICARE: SHIRLEY BARCLAY 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 Worker5124FL
2101YM0800XMental Health CounselorSW5124FL

General Provider Information

NPI Number : 1740606037
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHIRLEY BARCLAY LCSW
Provider Business Mailing Address
First Line : 130 S INDIAN RIVER DR STE 202
Second Line :
City : FORT PIERCE
State : FL
Zip : 34950-4353
Country : US
Telephone Number : 772-773-0229
Fax Number : 772-772-8600
Provider Business Practice Location Address
First Line : 130 S INDIAN RIVER DR STE 202
Second Line :
City : FORT PIERCE
State : FL
Zip : 34950-4353
Country : US
Telephone Number : 772-773-0229
Fax Number : 772-272-8600
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2014
Last Update Date : 12/12/2023

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Directions to “ SHIRLEY BARCLAY LCSW” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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