Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JOSEPH TIMOTHY SHANLY, LCSW-R
Active Sole ProprietorMR. JOSEPH TIMOTHY SHANLY, LCSW-R is a Clinical Social Worker healthcare provider located in PHILADELPHIA, New York. NPI 1629370069 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · PHILADELPHIA, NY
Registration Details
- NPI Number
- 1629370069
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 17, 2010 (15.718114151878 yrs)
- Last Updated
- Nov 17, 2010
- License
-
064470 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
32735 COUNTY ROUTE 29 STE APHILADELPHIA, NY, 136734210Browse NY providers · Browse ZIP 13673
- Phone
- 3156423142
- Fax
- 3156423249
- Primary Specialty
-
Clinical Social Worker
1041C0700X
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.