Individual provider · Type 1 NPI

Consuelo Elizabeth Mendez-Shannon, PhD, LMSW

Clinical Social Worker · Boulder, CO

NPI number 1982910386 Active

Practice location

1333 Iris Ave
Boulder, CO 80304-2226

Call (303) 413-6212 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X06821 (NY)

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 1982910386

Consuelo Elizabeth Mendez-Shannon, PhD, LMSW's National Provider Identifier is 1982910386, issued on Aug 23, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boulder, CO. The record was last updated on Aug 23, 2010.