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Jeff William Shively, LICSW
Clinical Social Worker in Plymouth, Minnesota
NPI 1376782961

Jeff William Shively is a Clinical Social Worker based in Plymouth, MN and is specialized in Clinical. Jeff William Shively practices in Plymouth, MN and has the professional credentials of LICSW. The NPI Number for Jeff William Shively is 1376782961 and holds a License No. 18053 (Minnesota).

The current practice location address for Jeff William Shively is 12805 Highway 55, Plymouth, MN and can be reached out via phone at 612-723-0408 and via fax at 763-210-5379.

Location: 12805 Highway 55, Plymouth, MN, 55441-3859
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376782961
Provider Name
Jeff William Shively
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
12805 Highway 55, Plymouth, MN, 55441-3859
Phone Number
612-723-0408
Fax Number
763-210-5379
Provider Enumeration Date
02/05/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12805 Highway 55
City
Plymouth
State
Minnesota
Zip
55441-3859
Phone Number
612-723-0408
Fax Number
763-210-5379
person
Provider Business Mailing Address Details
Address
12805 Highway 55
City
Plymouth
State
Minnesota
Zip
55441-3859
Phone Number
612-723-0408
Fax Number
763-210-5379
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
18053 (Minnesota)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
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