Individual provider · Type 1 NPI

Shane Michael Hamp, LICSW

Clinical Social Worker · Woodbury, MN

NPI number 1326655093 Active

Practice location

1000 Radio Dr Ste 210
Woodbury, MN 55125-8444

Mailing address

1750 Norfolk Ave Apt 16
St. Paul, MN 55116-3056

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X27378 (MN)

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 1326655093

Shane Michael Hamp, LICSW's National Provider Identifier is 1326655093, issued on Sep 28, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Woodbury, MN. The record was last updated on Sep 28, 2020.