| Doctor Name: | MRS. VICTORIA A SHIELDS |
| NPI Number: | 1053457374 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 042373-1 |
| Business Practice Address: | Nysarc Inc., Suffolk Chapter 45 Crossways E. Bohemia, NY - 11716 |
| Business Phone Number: | 6312184949 |
| Business Fax Number: | |
| Mailing Address: | 153 Bayview Ave, AMITYVILLE |
| State: | NY |
| Postal Code: | 117013207 |
| Phone Number: | 6312640026 |
| Fax Number: | |
| NPI Enumeration Date: | 01/30/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 042373-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |