Provider Demographics
NPI:1851816615
Name:SHUMAN, KARLA (ISW, MSW, NLP, CH)
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:
Last Name:SHUMAN
Suffix:
Gender:F
Credentials:ISW, MSW, NLP, CH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1205 PARKER DEN DR
Mailing Address - Street 2:
Mailing Address - City:RUSKIN
Mailing Address - State:FL
Mailing Address - Zip Code:33570-2012
Mailing Address - Country:US
Mailing Address - Phone:813-956-6189
Mailing Address - Fax:
Practice Address - Street 1:1205 PARKER DEN DR
Practice Address - Street 2:
Practice Address - City:RUSKIN
Practice Address - State:FL
Practice Address - Zip Code:33570-2012
Practice Address - Country:US
Practice Address - Phone:813-956-6189
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-13
Last Update Date:2017-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLISW106151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical