MR. JAY RICHARD SHILLING LCSW
NPI 1063403533
Social Worker - Clinical in Johnson City, TN

Active since November 02, 2005
1416 S ROAN ST, OAKS CASTLE CLINIC, JOHNSON CITY, TN 37601(423) 979-6257 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Jay Richard Shilling Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JAY RICHARD SHILLING LCSW (NPI 1063403533) is an individual clinical provider in Johnson City, Tennessee, licensed in Tennessee (LSW00091) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1063403533
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JAY RICHARD SHILLINGCredential: LCSW
Location Address1416 S ROAN ST, OAKS CASTLE CLINICJohnson City, TN 37601-7332
Mailing AddressPo Box 1166Johnson City, TN 37605-1166 · (423) 979-6265 · Fax (423) 979-6285
Sole ProprietorYes
Enumeration DateNovember 2, 2005
Last NPPES UpdateJuly 8, 2007
NPI 1063403533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in TN · LSW00091
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1416 S ROAN ST, Johnson City, TN 37601

Other Identifiers 3

Medicare ID-Type Unspecified3693783
Other5426182Aetna
Other47574Cigna

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1416 S ROAN ST
JOHNSON CITY, TN 37601
Plastic Surgery
1416 S ROAN ST
JOHNSON CITY, TN 37601
Counselor (Professional)
1416 S ROAN ST
JOHNSON CITY, TN 37601
Acupuncturist
1416 S ROAN ST
JOHNSON CITY, TN 37601
Nurse Practitioner (Adult Health)
1416 S ROAN ST
JOHNSON CITY, TN 37601
Plastic Surgery
1416 S ROAN ST
JOHNSON CITY, TN 37601
Dietitian, Registered
1416 S ROAN ST
JOHNSON CITY, TN 37601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jay Shilling's NPI number?

The NPI number for Jay Shilling is 1063403533. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is Jay Shilling located?

Jay Shilling practices at 1416 S Roan St Oaks Castle Clinic, Johnson City, TN 37601. The listed phone number is (423) 979-6257.

What is Jay Shilling's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Jay Shilling was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.