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NPI Code Detail

MEDICARE: MRS. MALISA SHREVE

MEDICARE: MRS. MALISA SHREVE
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 WorkerQ10000495DE

General Provider Information

NPI Number : 1841506680
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MALISA SHREVE
Provider Business Mailing Address
First Line : 18 COOK RD
Second Line :
City : NEWARK
State : DE
Zip : 19711-4802
Country : US
Telephone Number : 302-620-8823
Fax Number : 302-397-2958
Provider Business Practice Location Address
First Line : 18 COOK RD
Second Line :
City : NEWARK
State : DE
Zip : 19711-4802
Country : US
Telephone Number : 302-620-8823
Fax Number : 302-397-2958
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2010
Last Update Date : 06/04/2026

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Directions to “ MRS. MALISA SHREVE ” Practice Location

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