NPI 1003187196

Ryan Shook, LCSW

Practitioner Clinical Social Worker Madison, CT

Practice location

Address: 147 Durham Rd, Madison, CT 06443-2675
Phone: (860) 238-3632

Registered specialties (2)

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 10681 (CT)

Other Social Worker providers in Connecticut →

Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

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Registry record

NPI: 1003187196
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jan 2012
Record last updated: 2 Jul 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.