Individual
PATRICIA SHEPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
BAYNE JONES ARMY COMMUNITY HOSPITAL, 1585 THIRD ST, FORT POLK, LA 71459
(337) 531-3783
Mailing address
9040 A JACKSON AVE 2-2 EBH BLDG R 1880, JOINT BASE LEWIS MCCHORD, WA 98431-0001
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
UNKNOWN
TRICARE
—
Enumeration date
06/03/2014
Last updated
02/23/2026
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