Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFF WILLIAM SHIVELY, LICSW
ActiveJEFF WILLIAM SHIVELY, LICSW is a Clinical Social Worker healthcare provider located in PLYMOUTH, Minnesota. NPI 1376782961 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · PLYMOUTH, MN
Registration Details
- NPI Number
- 1376782961
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 5, 2009 (17.481947686578 yrs)
- Last Updated
- Mar 5, 2013
- License
-
18053 (MN)
Practice Information
- Address
-
12805 HIGHWAY 55SUITE 200PLYMOUTH, MN, 554413859Browse MN providers · Browse ZIP 55441
- Phone
- 6127230408
- Fax
- 7632105379
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in PLYMOUTH, MN
| Name | Credential | NPI |
|---|---|---|
| YING P ELLIOTT | LICSW | 1144213901 |
| CATHERINE ANNE STENZEL | MSW, LICSW | 1487734794 |
| MRS. BETH W MATTHEWS | LICSW | 1447324074 |
| MS. JOY S ALLEN | LCSW | 1770649394 |
| JENNIFER LYNN SHEPHERD | MSW, L.I.C.S.W. | 1518137421 |
| MRS. KATHLEEN PATRICIA WESSEL | LICSW | 1477878684 |
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.