Jeff Shively, Msw, Licsw - Mental Health Clinic in Plymouth, MN

Jeff Shively, Msw, Licsw is a mental health clinic (Social Worker - Clinical) in Plymouth, Minnesota. The current practice location for Jeff Shively, Msw, Licsw is 12805 Highway 55, Suite 200, Plymouth, Minnesota. For appointments, you can reach them via phone at (612) 723-0408. The mailing address for Jeff Shively, Msw, Licsw is 12805 Highway 55, Suite 200, Plymouth, Minnesota and phone number is (612) 723-0408.

Jeff Shively, Msw, Licsw is licensed to practice in Minnesota (license number 18053) and its NPI number is 1366874299. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (612) 723-0408.

Contact Information

Jeff Shively, Msw, Licsw
12805 Highway 55
Suite 200
Plymouth
MN 55441-3880
(612) 723-0408
(763) 210-5379

Mental Health Clinic Profile

Full NameJeff Shively, Msw, Licsw
SpecialitySocial Worker - Clinical
Location12805 Highway 55, Plymouth, Minnesota
Authorized Official Name and PositionJeff W Shively (PRESIDENT)
Authorized Official Contact6127230408
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jeff Shively, Msw, Licsw
12805 Highway 55
Suite 200
Plymouth
MN 55441-3880

Ph: (612) 723-0408
Jeff Shively, Msw, Licsw
12805 Highway 55
Suite 200
Plymouth
MN 55441-3880

Ph: (612) 723-0408

NPI Details:

NPI Number1366874299
Provider Enumeration Date08/02/2013
Last Update Date08/03/2013

Medical Identifiers

Medical identifiers for Jeff Shively, Msw, Licsw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366874299NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 18053 (Minnesota)Primary

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› Verified 9 days ago

Social Worker in Plymouth, MN

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Neuro Pllc
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Navigating Changes Llc
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Practice Location: 12805 Highway 55, Suite 402, Plymouth, MN 55441
Phone: 612-643-0046    
Willow Bay Therapy, Llc
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Medicare: Not Enrolled in Medicare
Practice Location: 12805 Highway 55 Ste 216, Plymouth, MN 55441
Phone: 612-440-1450    Fax: 612-524-5563
Segal Psychotherapy, Llc
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Medicare: Not Enrolled in Medicare
Practice Location: 9800 Shelard Pkwy # 115, Plymouth, MN 55441
Phone: 612-875-6416    Fax: 952-546-3000
Monarch Behavioral Health Pllc
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Medicare: Not Enrolled in Medicare
Practice Location: 9800 Shelard Pkwy Ste 115, Plymouth, MN 55441
Phone: 763-577-2489    Fax: 952-545-8150
Christian Family Counseling
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Medicare: Not Enrolled in Medicare
Practice Location: 3350 Harbor Ln N, Plymouth, MN 55447
Phone: 800-438-1772    Fax: 262-293-9737

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