Individual provider · Type 1 NPI

Shannon L. Bolen, MSW

Clinical Social Worker · Charleston Afb, SC

NPI number 1023200466 Active

Practice location

204 West Hill Blvd., 437th Medical Group/sgoh
Charleston Afb, SC 29404-4704

Fax (843) 963-6930

Mailing address

204 West Hill Blvd, 437th Medical Group/sgoh
Charleston Afb, SC 29404-4704

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X20642 (CA)

Clinical Social Worker: 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 interpers…

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About NPI 1023200466

Shannon L. Bolen, MSW's National Provider Identifier is 1023200466, issued on Aug 9, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charleston Afb, SC. The record was last updated on Sep 13, 2007.