Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHANE CLINTON JAYNES, LCSWR
ActiveDR. SHANE CLINTON JAYNES, LCSWR is a Social Worker healthcare provider located in ITHACA, New York. NPI 1770521155 is currently active in the NPPES registry. Verify at CMS.
Social Worker · ITHACA, NY
Registration Details
- NPI Number
- 1770521155
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 4, 2006 (20.189162105253 yrs)
- Last Updated
- Sep 8, 2008
- License
-
R070758 (NY)
Practice Information
- Address
-
1481 TRUMANSBURG RDITHACA, NY, 14850Browse NY providers · Browse ZIP 14850
- Phone
- 6072567639
- Primary Specialty
-
Social Worker
104100000X
- Additional Specialty
- Social Worker
Other Social Worker Providers in ITHACA, NY
| Name | Credential | NPI |
|---|---|---|
| LYNN GERSTEIN | — | 1841251519 |
| ROBIN GUSOW HAMLISCH | — | 1013978667 |
| MAURICE HALTOM | — | 1215998042 |
| LISA ARIEL BERKI | — | 1518928233 |
| MATTHEW S BOONE | — | 1427019140 |
| DIANE LOUISE SULLIVAN | — | 1013978642 |
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.