Provider Demographics
NPI:1386377182
Name:AUBERRY, SHELBIE DANIELLE
Entity type:Individual
Prefix:
First Name:SHELBIE
Middle Name:DANIELLE
Last Name:AUBERRY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SHELBIE
Other - Middle Name:DANIELLE
Other - Last Name:AUBERRY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:1724 BELLEMEADE AVE
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47714-2102
Mailing Address - Country:US
Mailing Address - Phone:812-646-0858
Mailing Address - Fax:
Practice Address - Street 1:7300 E INDIANA ST STE 103
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47715-7448
Practice Address - Country:US
Practice Address - Phone:216-468-5000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-08
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34010262A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN34010262AOtherLICENSE