Individual provider · Type 1 NPI

Shannon T. Edgeworth, LCSW

Clinical Social Worker · Eatontown, NJ

NPI number 1669151692 Active

Practice location

200 Wyckoff Road
Eatontown, NJ 07724

Call (862) 781-3755 Map

Fax (732) 389-6065

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X44SC06106800 (NJ)

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 1669151692

Shannon T. Edgeworth, LCSW's National Provider Identifier is 1669151692, issued on Jul 17, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Eatontown, NJ. The record was last updated on Jul 17, 2023.