Organization · Type 2 NPI
Jeff Shively, Msw, Licsw
Clinical Social Worker · Bloomington, MN
Practice location
8120 Penn Ave S Ste 500E
Bloomington, MN 55431-1367
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 18053 (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 1366874299
Jeff Shively, Msw, Licsw's National Provider Identifier is 1366874299, issued on Aug 2, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bloomington, MN. The record was last updated on Aug 5, 2026.