Provider Demographics
NPI:1831810217
Name:THOMPSON, SHELBI KATHERINE (BSW)
Entity type:Individual
Prefix:
First Name:SHELBI
Middle Name:KATHERINE
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:SHELBI
Other - Middle Name:KATHERINE
Other - Last Name:SCHNEIDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSW
Mailing Address - Street 1:625 FLORMANN ST
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701-5469
Mailing Address - Country:US
Mailing Address - Phone:605-340-1234
Mailing Address - Fax:
Practice Address - Street 1:625 FLORMANN ST
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-5469
Practice Address - Country:US
Practice Address - Phone:605-340-1234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-06
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker