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

MR. SHANE KEITH BROWN, LCSW

Active Sole Proprietor

MR. SHANE KEITH BROWN, LCSW is a Clinical Social Worker healthcare provider located in EAST SYRACUSE, New York. NPI 1912216714 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · EAST SYRACUSE, NY

Registration Details

NPI Number
1912216714
Provider Type
Individual
Gender
Male
NPI Issued
Sep 28, 2010 (15.86534036884 yrs)
Last Updated
Nov 22, 2013
Licenses
083318-1 (NY)
080775 (NY)
Sole Proprietor
Yes

Practice Information

Address
302 UPTON ST
EAST SYRACUSE, NY, 130572308
Browse NY providers · Browse ZIP 13057
Phone
3154370586
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in EAST SYRACUSE, NY

Name Credential NPI
GUSSIE M SORENSEN LCSW-R 1295714681
MR. DOUGLAS DANIEL GOLDSCHMIDT LCSWR 1770539496
MRS. DIANA L D'EREDITA LCSW 1457381915
DONALD T GARDINER L.C.S.W.R. 1164520185
MS. JANIS L SCATURO LCSW 1700967817
MELINDA GREENMAN L.C.S.W.R 1538241385
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.