Search › Minnesota › Clinical Social Worker
Jeff Shively, LICSW
NPI 1376782961 · on the registry since 2009
Practice
- Address
- 12805 Highway 55
Suite 200
Plymouth, MN 55441 - Phone
- (612) 723-0408
- Fax
- (763) 210-5379
- Organisation at this address
- Bruce Pearson Pa
Prisendorf Care, Llc
Navigating Changes Llc
Willow Bay Therapy, Llc
Autism Family Therapy IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 20
Registry record
- Primary taxonomy
- Clinical Social Worker
1041C0700X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-03-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota