Jeff Shively, Msw, Licsw
NPI 1366874299 · Clinical Social Worker · Plymouth, MN
Jeff Shively, Msw, Licsw is a Clinical Social Worker organization in Plymouth, MN (NPI 1366874299).
Provider details
- NPI number
- 1366874299
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Jeff Shively, President(612) 723-0408
- License
- 18053 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-08-02
- Last updated
- 2013-08-03
Frequently asked questions
- What is Jeff Shively, Msw, Licsw's NPI number?
- Jeff Shively, Msw, Licsw's National Provider Identifier (NPI) is 1366874299, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jeff Shively, Msw, Licsw?
- Jeff Shively, Msw, Licsw is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jeff Shively, Msw, Licsw located?
- Jeff Shively, Msw, Licsw's practice location on file with NPPES is 12805 Highway 55, Plymouth, MN 55441-3880.
- What is Jeff Shively, Msw, Licsw's phone number?
- The practice phone number listed in the NPPES registry for Jeff Shively, Msw, Licsw is (612) 723-0408.
- Who is the authorized official for Jeff Shively, Msw, Licsw?
- The authorized official listed on Jeff Shively, Msw, Licsw's NPPES record is Jeff Shively, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jeff Shively, Msw, Licsw's NPI active?
- Yes — Jeff Shively, Msw, Licsw's NPI (1366874299) is active in the NPPES registry as of the last update on 2013-08-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.