Individual provider · Type 1 NPI

Susan Lorena Shadwick, IMFT-S, LMFT, ATR-BC

Marriage & Family Therapist · Westerville, OH

NPI number 1043619554 Active

Practice location

628 Woodlake Ct
Westerville, OH 43081-3458

Fax (614) 999-1306

Other practice locations

  • 1491 Polaris Pkwy # 147, Columbus, OH 43240-2041 · (213) 631-3733

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist 106H00000XLMFT99844 (CA)
Art Therapist 221700000XART.24000031 (OH)
Marriage & Family Therapist Primary 106H00000XF.1700016 (OH)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1043619554

Susan Lorena Shadwick, IMFT-S, LMFT, ATR-BC's National Provider Identifier is 1043619554, issued on Aug 20, 2014. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Westerville, OH. The record was last updated on Nov 1, 2024.