Provider Demographics
NPI:1043757321
Name:SHLIFER, WILLIAM EUGENE (LCSW)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:EUGENE
Last Name:SHLIFER
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:WILLIAM
Other - Middle Name:E
Other - Last Name:SHLIFER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:1200 NW 17TH AVE
Mailing Address - Street 2:SUITE 6
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-2503
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1200 NW 17TH AVE
Practice Address - Street 2:SUITE 6
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-2503
Practice Address - Country:US
Practice Address - Phone:561-865-5896
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-25
Last Update Date:2020-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW120921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical