Individual provider · Type 1 NPI

Shannon Michael Puryear

Clinical Social Worker · Columbus, OH

NPI number 1831088939 Active

Practice location

3768 E Main St
Columbus, OH 43213-2925

Call (833) 510-4357 Map

Fax (866) 460-2997

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X126761 (NY)
Clinical Social Worker Primary 1041C0700XS.2513119 (OH)

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 1831088939

Shannon Michael Puryear's National Provider Identifier is 1831088939, issued on Jul 2, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Columbus, OH. The record was last updated on Jul 1, 2026.