National Provider Identifier
Monroe Demetrius Shim, CASAC
Monroe Demetrius Shim, CASAC is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Rochester, NY and a listed phone number of (585) 287-5626.
Profile Overview
- NPI
- 1336909795
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- March 21, 2024
- Last Updated
- March 21, 2024
Practice Location
- 1850 Brighton Henrietta Town Line RD
- Rochester, NY 14623-2532
Phone: (585) 287-5626
Mailing Address
- 166 Meigs St Apt 4
- Rochester, NY 14607-2496
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
- NPI
- 1336909795
- Entity Type
- Individual
- Last Name
- Shim
- First Name
- Monroe
- Middle Name
- Demetrius
- Name Prefix
- Mr.
- Credential
- CASAC
- Mailing Street Address
- 166 Meigs St Apt 4
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14607-2496
- Mailing Country
- US
- Mailing Phone
- (585) 532-3011
- Practice Street Address
- 1850 Brighton Henrietta Town Line RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14623-2532
- Practice Country
- US
- Practice Phone
- (585) 287-5626
- Practice Fax
- (585) 287-5628
- Enumeration Date
- March 21, 2024
- Last Updated
- March 21, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 21, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)