Individual provider · Type 1 NPI

Yuri Shane

Clinical Social Worker · Boulder, CO

NPI number 1275252140 Active

Practice location

3005 47th St Ste F1
Boulder, CO 80301-5550

Call (303) 955-6809 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW.09932355 (CO)

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 1275252140

Yuri Shane's National Provider Identifier is 1275252140, issued on Aug 24, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boulder, CO. The record was last updated on Sep 26, 2025.