National Provider Identifier
Mary Shelley, LCSW
Mary Shelley, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (607) 273-2312.
Profile Overview
- NPI
- 1437217403
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- December 04, 2006
- Last Updated
- July 08, 2007
Practice Location
- 319 N Tioga St
- Ithaca, NY 14850-4205
Phone: (607) 273-2312
Mailing Address
- 109 Park Pl
- Ithaca, NY 14850-4028
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1437217403
- Entity Type
- Individual
- Last Name
- Shelley
- First Name
- Mary
- Name Prefix
- MS.
- Credential
- LCSW
- Mailing Street Address
- 109 Park Pl
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-4028
- Mailing Country
- US
- Mailing Phone
- (607) 273-2312
- Practice Street Address
- 319 N Tioga St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-4205
- Practice Country
- US
- Practice Phone
- (607) 273-2312
- Enumeration Date
- December 04, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)
- Other Identifiers
- PR043869 (NY, Lcsw, Clinical Social Wor), 9246 (NY, Casac)