Individual
ELIZABETH BOAN SHUMATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3204 KENMORE DR, HAMPTON, VA 23661-3420
(540) 267-6264
Mailing address
3204 KENMORE DR, HAMPTON, VA 23661-3420
(540) 267-6264
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904003491
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000068192
UNITED BEHAVIORAL HEALTH
VA
01
—
1023164126
FIRST HEALTH
VA
05
—
1023164126
—
VA
01
—
166603
COMPSYCH
VA
01
—
276944000
MAGELLAN
VA
01
—
302441
ANTHEM BC / BS
VA
01
—
351786
ANTHEM BC/BS
VA
01
—
57594
HORIZON
VA
01
—
7499285
AETNA
VA
01
—
83936M
SENTARA MENTAL HEALTH MANAGEMENT
VA
Enumeration date
01/25/2007
Last updated
06/08/2009
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