Individual provider · Type 1 NPI

Jessica B. Shannon

Clinical Social Worker · Lexington, KY

NPI number 1134432495 Active

Practice location

1092 Duval St Ste 230
Lexington, KY 40515-8908

Other practice locations

  • 620 Euclid Ave Ste 208, Lexington, KY 40502-6429 · (859) 539-0312

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X4019 (KY)
Mental Health Counselor 101YM0800XNone listed

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 1134432495

Jessica B. Shannon's National Provider Identifier is 1134432495, issued on Jul 15, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lexington, KY. The record was last updated on Jul 20, 2024.