Murphy, Shane

Murphy, Shane is an individual health care provider with primary practice located at 18 Oneco St Ste 3 , Norwich CT 06360-3440. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Murphy, Shane can be contacted via phone (860) 961-6252.

Contact Information

Primary practice address
18 Oneco St Ste 3 Norwich CT 06360-3440
Phone: (860) 961-6252
Fax: (860) 556-9147
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 008233 Connecticut
Behavioral Health & Social Service Providers / Clinical 1041C0700X 8233 Connecticut

Profile Details

NPI number 1104162122
LBN Legal business name Murphy, Shane
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2012
Last updated Apr 13th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104162122 NPPES
Connecticut MEDICAID 008043829

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