Provider Demographics
NPI:1306906573
Name:DROESCHER, SHELLEY DIANE (LCSW)
Entity type:Individual
Prefix:
First Name:SHELLEY
Middle Name:DIANE
Last Name:DROESCHER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3320 RAIDERS RUN
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-2930
Mailing Address - Country:US
Mailing Address - Phone:530-877-2519
Mailing Address - Fax:530-865-8537
Practice Address - Street 1:3320 RAIDERS RUN
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-2930
Practice Address - Country:US
Practice Address - Phone:530-521-8500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW158561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical