Individual provider · Type 1 NPI

Shannon Ryan Legere, LCSW

Clinical Social Worker · Long Beach, CA

NPI number 1396861969 Active

Practice location

456 Elm Ave
Long Beach, CA 90802

Call (562) 437-6717 Map

Fax (562) 437-5072

Mailing address

2254 Gaviota Ave Unit 19
Signal Hill, CA 90755-3655

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X22103 (CA)

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 1396861969

Shannon Ryan Legere, LCSW's National Provider Identifier is 1396861969, issued on Mar 22, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Long Beach, CA. The record was last updated on Aug 25, 2018.