JEFF SHIVELY, MSW, LICSW
NPI 1366874299
Social Worker - Clinical in Bloomington, MN
About Jeff Shively, Msw, Licsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEFF SHIVELY, MSW, LICSW (NPI 1366874299) is a healthcare organization registered as a clinical in Bloomington, Minnesota and active in the NPI registry since August 2013. The organization lists Jeff W Shively, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 Jeff Shively, Msw, Licsw's NPI number?
The NPI number for Jeff Shively, Msw, Licsw is 1366874299. It was assigned to this organization in the NPPES registry on August 2, 2013.
Where is Jeff Shively, Msw, Licsw located?
Jeff Shively, Msw, Licsw is located at 8120 Penn Ave S Ste 500E, Bloomington, MN 55431. The listed phone number is (612) 723-0408.
What is Jeff Shively, Msw, Licsw'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 Jeff Shively, Msw, Licsw was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.