Individual provider · Type 1 NPI

Emily Shupak, LCSW

Clinical Social Worker · Granby, CO

NPI number 1699486480 Active

Practice location

244 East Agate Ave.
Granby, CO 80446-5868

Call (970) 241-6023 Map

Mailing address

PO Box 726
Granby, CO 80446-0726

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW.09933931 (CO)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

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 1699486480

Emily Shupak, LCSW's National Provider Identifier is 1699486480, issued on Dec 12, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Granby, CO. The record was last updated on Oct 9, 2026.