Provider Demographics
NPI:1235487232
Name:NIER, SHELLEY (LCSW)
Entity Type:Individual
Prefix:
First Name:SHELLEY
Middle Name:
Last Name:NIER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 RICHMOND RD
Mailing Address - Street 2:
Mailing Address - City:CASTLETON
Mailing Address - State:VA
Mailing Address - Zip Code:22716-2725
Mailing Address - Country:US
Mailing Address - Phone:540-305-9973
Mailing Address - Fax:
Practice Address - Street 1:23 RICHMOND RD
Practice Address - Street 2:
Practice Address - City:CASTLETON
Practice Address - State:VA
Practice Address - Zip Code:22716-2725
Practice Address - Country:US
Practice Address - Phone:540-305-9973
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-22
Last Update Date:2012-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040073581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical