MEDICARE: SHAWANDA L ERBY

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	1041C0700X	Clinical Social Worker	P018998	NC

General Provider Information

NPI Number	:	1912872490
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAWANDA L ERBY

Provider Business Mailing Address
First Line	:	3808 FALLSTON RD
Second Line	:
City	:	SHELBY
State	:	NC
Zip	:	28150-9266
Country	:	US
Telephone Number	:	803-554-5434
Fax Number	:

Provider Business Practice Location Address
First Line	:	223 W MAIN AVE
Second Line	:
City	:	GASTONIA
State	:	NC
Zip	:	28052-4104
Country	:	US
Telephone Number	:	704-891-8565
Fax Number	:

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

Provider Enumeration Date	:	10/06/2025
Last Update Date	:	10/06/2025

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Directions to “ SHAWANDA L ERBY ” Practice Location

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