Individual provider · Type 1 NPI

Shani Cohen Missner, MD, PhD, LCSW-C, CLC

Clinical Social Worker · Gaithersburg, MD

NPI number 1316444052 Active · reactivated Jun 13, 2024

Practice location

10810 Darnestown Rd Ste 103
Gaithersburg, MD 20878-2604

Call (240) 630-4497 Map

Fax (301) 279-2232

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X27849 (MD)

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 1316444052

Shani Cohen Missner, MD, PhD, LCSW-C, CLC's National Provider Identifier is 1316444052, issued on Apr 10, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Gaithersburg, MD. The record was last updated on Jul 1, 2024.