Individual provider · Type 1 NPI

Shabieko Shannon Ivy

Clinical Social Worker · Brooklyn, NY

NPI number 1639830003 Active

Practice location

493 Nostrand Ave Ste 3
Brooklyn, NY 11216-5118

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP113453 (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…

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About NPI 1639830003

Shabieko Shannon Ivy's National Provider Identifier is 1639830003, issued on Jan 6, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brooklyn, NY. The record was last updated on Jan 6, 2022.