Individual provider · Type 1 NPI
Joseph Timothy Shanly, LCSW-R
Clinical Social Worker · Philadelphia, NY
Practice location
32735 County Route 29 Ste A
Philadelphia, NY 13673-4210
Fax (315) 642-3249
Mailing address
913 Myrtle Ave
Watertown, NY 13601-4601
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 064470 (NY) |
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…
Another provider at this address
About NPI 1629370069
Joseph Timothy Shanly, LCSW-R's National Provider Identifier is 1629370069, issued on Nov 17, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Philadelphia, NY. The record was last updated on Nov 17, 2010.