Individual provider · Type 1 NPI

Shane Tyler Haupt, LCSW

Clinical Social Worker · Richmond, VA

NPI number 1609737121 Active

Practice location

1201 Broad Rock Blvd
Richmond, VA 23249-0001

Call (804) 924-6914 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904019543 (VA)

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 1609737121

Shane Tyler Haupt, LCSW's National Provider Identifier is 1609737121, issued on Nov 24, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Richmond, VA. The record was last updated on Nov 24, 2025.