Provider Demographics
NPI:1184839110
Name:SHULER, CHARLOTTE H (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CHARLOTTE
Middle Name:H
Last Name:SHULER
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1120
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:FL
Mailing Address - Zip Code:32321-1120
Mailing Address - Country:US
Mailing Address - Phone:850-643-5551
Mailing Address - Fax:850-643-3446
Practice Address - Street 1:10584 NW AZALEA ST
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:FL
Practice Address - Zip Code:32321-3367
Practice Address - Country:US
Practice Address - Phone:850-643-5551
Practice Address - Fax:850-643-3446
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 26691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL20994OtherCHP, TALLAHASSEE, FL
FL210416400Medicaid
FLZ4922OtherBCBS-BRISTOL, FL
FLZ8243OtherBCBS-TALLAHASSEE, FL
FL210416400Medicaid