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

JEFF SHIVELY, MSW, LICSW

Active Organization

JEFF SHIVELY, MSW, LICSW is a Clinical Social Worker organization located in PLYMOUTH, Minnesota. NPI 1366874299 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · PLYMOUTH, MN

Registration Details

NPI Number
1366874299
Provider Type
Organization
NPI Issued
Aug 2, 2013 (13.005836440286 yrs)
Last Updated
Aug 3, 2013
License
18053 (MN)

Practice Information

Address
12805 HIGHWAY 55
SUITE 200
PLYMOUTH, MN, 554413880
Browse MN providers · Browse ZIP 55441
Phone
6127230408
Fax
7632105379
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Organizations in PLYMOUTH, MN

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.