Individual provider · Type 1 NPI

Ismely Shannon, LCSW

Clinical Social Worker · Bradenton, FL

NPI number 1154640381 Active

Practice location

379 6th Ave W
Bradenton, FL 34205-8820

Call (941) 782-4100 Map

Fax (941) 782-4101

Mailing address

PO Box 9478
Bradenton, FL 34206-9478

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW12247 (FL)
Case Manager/Care Coordinator 171M00000XNone 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 1154640381

Ismely Shannon, LCSW's National Provider Identifier is 1154640381, issued on May 27, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bradenton, FL. The record was last updated on Oct 17, 2014.