National Provider Identifier
Shane Clinton Jaynes, LCSWR
Shane Clinton Jaynes, LCSWR is listed in the NPPES registry with a primary specialty of Social Worker in Ithaca, NY and a listed phone number of (607) 256-7639.
Profile Overview
- NPI
- 1770521155
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- June 04, 2006
- Last Updated
- September 08, 2008
Practice Location
- 1481 Trumansburg RD
- Ithaca, NY 14850
Phone: (607) 256-7639
Specialties
- Social Worker (104100000X)
- Social Worker (104100000X)
Full Record
- NPI
- 1770521155
- Entity Type
- Individual
- Last Name
- Jaynes
- First Name
- Shane
- Middle Name
- Clinton
- Name Prefix
- Dr.
- Credential
- LCSWR
- Mailing Street Address
- 1481 Trumansburg RD
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850
- Mailing Country
- US
- Mailing Phone
- (607) 256-7639
- Practice Street Address
- 1481 Trumansburg RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850
- Practice Country
- US
- Practice Phone
- (607) 256-7639
- Enumeration Date
- June 04, 2006
- Last Updated
- September 08, 2008
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Social Worker (104100000X), Social Worker (104100000X)