Individual provider · Type 1 NPI

Mary Grey Shaginaw

Clinical Social Worker · Melbourne, FL

NPI number 1205713617 Active

Practice location

6769 N Wickham Rd Ste B101
Melbourne, FL 32940-2048

Call (321) 321-1490 Map

Mailing address

820 N Atlantic Ave Apt A101
Cocoa Beach, FL 32931-3138

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone 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 1205713617

Mary Grey Shaginaw's National Provider Identifier is 1205713617, issued on Aug 18, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Melbourne, FL. The record was last updated on Aug 27, 2026.