Shannon T Edgeworth, LCSW Valid NPI

Individual provider · Clinical Social Worker · Eatontown, NJ

NPI

1669151692

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

44SC06106800 (NJ)

Sex

Female

Sole proprietor

No

Enumerated

2023-07-17

Last updated

2023-07-17