Whalio Doctors

NPI 1083232631

Shannon a Perez, MSWLCSWLCASA

Practitioner Clinical Social Worker Southport, NC

Practice location

Address
8128 River Rd SE, Southport, NC 28461-8972
Phone
(910) 367-5036
Fax
(910) 477-9030
Mailing address
70 High Point Rd, Southport, NC 28461-9757

Registered specialties (3)

Clinical Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence C014152 (NC)
Addiction (Substance Use Disorder) Counselor
Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 25841 (NC)
Clinical Social Worker
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence P013774 (NC)

Registry record

NPI
1083232631
Entity type
Individual
Sex (as registered)
Female
NPI issued
9 Jul 2020
Record last updated
17 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.