| Jeff William Shively, LICSW | |
|
12805 Highway 55, Suite 200, Plymouth, MN 55441-3859 | |
| (612) 723-0408 | |
| (763) 210-5379 |
| Full Name | Jeff William Shively |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 12805 Highway 55, Plymouth, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376782961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 18053 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jeff William Shively, LICSW 12805 Highway 55, Suite 200, Plymouth, MN 55441-3859 Ph: (612) 723-0408 | Jeff William Shively, LICSW 12805 Highway 55, Suite 200, Plymouth, MN 55441-3859 Ph: (612) 723-0408 |
Danielle Norgren, Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 3251 Fernbrook Ln N, Plymouth, MN 55447 Phone: 612-268-5858 | |
Yolonda Yvette Rogers, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2415 Upland Ln N Unit A, Plymouth, MN 55447 Phone: 612-385-0991 | |
Ying P Elliott, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 10700 Old County Road 15 Ste 170, Plymouth, MN 55441 Phone: 763-525-8590 Fax: 763-525-8592 | |
Jamie Schley, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9800 Rockford Rd, Suite 100, Plymouth, MN 55442 Phone: 952-460-9045 | |
Laura Michelle Groeneweg, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3033 Campus Dr Ste E180, Plymouth, MN 55441 Phone: 524-609-0869 Fax: 763-416-0916 | |
Deirdra Lynn Hoolahan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13110 37th Ave N, Plymouth, MN 55441 Phone: 612-386-2661 | |
Stephanie Marie Haywood, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3033 Campus Dr Ste W225, Plymouth, MN 55441 Phone: 844-413-2811 |