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

MR. SHANE DEVINNE KING

Active Sole Proprietor

MR. SHANE DEVINNE KING is a Clinical Social Worker healthcare provider located in WESTCHESTER, New York. NPI 1770986275 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · WESTCHESTER, NY

Registration Details

NPI Number
1770986275
Provider Type
Individual
Gender
Male
NPI Issued
Sep 29, 2014 (11.859603628215 yrs)
Last Updated
Sep 29, 2014
License
091304 (NY)
Sole Proprietor
Yes

Practice Information

Address
226 LINDA AVENUE
WESTCHESTER, NY, 10532
Browse NY providers · Browse ZIP 10532
Phone
9147737680
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.