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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JEROME DAVID PATRICK SHANAHAN, MSW LMSW

Active Sole Proprietor

MR. JEROME DAVID PATRICK SHANAHAN, MSW LMSW is a Clinical Social Worker healthcare provider located in DETROIT, Michigan. NPI 1215155650 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · DETROIT, MI

Registration Details

NPI Number
1215155650
Provider Type
Individual
Gender
Male
NPI Issued
Apr 23, 2007 (19.297214559342 yrs)
Last Updated
Jul 8, 2007
License
6801069349 (MI)
Sole Proprietor
Yes

Practice Information

Address
220 BAGLEY ST
1100
DETROIT, MI, 482261400
Browse MI providers · Browse ZIP 48226
Phone
3139617990
Fax
3139616274
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in DETROIT, MI

Name Credential NPI
RITA I MCLEAN MSW 1235176736
TIMOTHY D SHEEHY LMSW 1710925839
GLORIA JACKSON MSW 1205874369
JAVEED SYED 1710925870
STEPHANIE A WILLIAMS MSW 1609814771
DORIS J JOHNSON LMSW 1235177304
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.