Provider Demographics
NPI:1952313371
Name:NAFZIGER-SHELLY, SARA (LCSW, BCD)
Entity Type:Individual
Prefix:MS
First Name:SARA
Middle Name:
Last Name:NAFZIGER-SHELLY
Suffix:
Gender:F
Credentials:LCSW, BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4585 RUDISILL ST
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-8710
Mailing Address - Country:US
Mailing Address - Phone:828-310-4984
Mailing Address - Fax:
Practice Address - Street 1:4585 RUDISILL ST
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-8710
Practice Address - Country:US
Practice Address - Phone:828-310-4984
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0022951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6002094Medicaid
NC6002094Medicaid