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ELLIOT SHIVELY
NPI 1871378737
Social Worker in Minnetonka, MN

Active since August 29, 2023
10505 WAYZATA BLVD STE 203-3, MINNETONKA, MN 55305(952) 222-7936 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 7, 2023, Aug 29, 2023 (2 updates tracked since 2023).

About Elliot Shively NPPES

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

ELLIOT SHIVELY (NPI 1871378737) is an individual social worker in Minnetonka, Minnesota and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1871378737
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameELLIOT SHIVELY
Location Address10505 WAYZATA BLVD STE 203-3Minnetonka, MN 55305-1502
Mailing Address2043 Utah Ave SSt Louis Park, MN 55426-2401 · (952) 456-2396
Phone(952) 222-7936
Sole ProprietorYes
Enumeration DateAugust 29, 2023
Last NPPES UpdateSeptember 7, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2023
✔ NPI 1871378737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
10505 WAYZATA BLVD STE 203-3, Minnetonka, MN 55305
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Other Providers at the Same Location NPPES 3

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

KNOW THYSELF, PLLC
Social Worker (Clinical)
10505 WAYZATA BLVD STE 203-3
MINNETONKA, MN 55305
Hennepin County (763) 242-3261
REBECCA ANITA TVETEN
Social Worker
10505 WAYZATA BLVD STE 203-3
MINNETONKA, MN 55305
Hennepin County (651) 252-8001
MRS. MELISSA ANNE RAATZ MSW, LICSW, CHT
Social Worker (Clinical)
10505 WAYZATA BLVD STE 203-3
MINNETONKA, MN 55305
Hennepin County (763) 242-3261

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 Elliot Shively's NPI number?

The NPI number for Elliot Shively is 1871378737. It was assigned to this individual provider in the NPPES registry on August 29, 2023.

Where is Elliot Shively located?

Elliot Shively practices at 10505 Wayzata Blvd Ste 203-3, Minnetonka, MN 55305. The listed phone number is (952) 222-7936.

What is Elliot Shively's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Elliot Shively was last updated on September 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.