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NPI Code Detail

MEDICARE: CAROLINE SHEPHERD LCSW

MEDICARE: CAROLINE SHEPHERD 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 Worker105109TX

General Provider Information

NPI Number : 1831808369
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLINE SHEPHERD LCSW
Provider Business Mailing Address
First Line : 805 W 10TH ST STE 302
Second Line :
City : AUSTIN
State : TX
Zip : 78701-2038
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 805 W 10TH ST STE 302
Second Line :
City : AUSTIN
State : TX
Zip : 78701-2038
Country : US
Telephone Number : 512-387-0703
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/23/2022
Last Update Date : 01/05/2026

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Directions to “ CAROLINE SHEPHERD LCSW” Practice Location

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