Individual provider · Type 1 NPI

Shanesia Minter

Clinical Social Worker · Lake City, FL

NPI number 1720983398 Active

Practice location

619 SE Country Club Rd
Lake City, FL 32025-6354

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone 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 1720983398

Shanesia Minter's National Provider Identifier is 1720983398, issued on Oct 13, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lake City, FL. The record was last updated on Oct 13, 2026.