Individual provider · Type 1 NPI

Timothy Rodney Davis Shay

Clinical Social Worker · Fergus Falls, MN

NPI number 1851277974 Active

Practice location

119 Friberg Ave
Fergus Falls, MN 56537-2306

Call (218) 332-2018 Map

Mailing address

515 Vernon Pl
Fergus Falls, MN 56537-3135

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 1851277974

Timothy Rodney Davis Shay's National Provider Identifier is 1851277974, issued on Aug 13, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fergus Falls, MN. The record was last updated on Aug 13, 2025.