Provider Demographics
NPI:1336859248
Name:SHAWN JAMES, LCSW, P.C.
Entity Type:Organization
Organization Name:SHAWN JAMES, LCSW, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:585-877-2437
Mailing Address - Street 1:1100 UNIVERSITY AVE STE 209
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14607-1655
Mailing Address - Country:US
Mailing Address - Phone:585-877-2437
Mailing Address - Fax:
Practice Address - Street 1:1100 UNIVERSITY AVE STE 209
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14607-1655
Practice Address - Country:US
Practice Address - Phone:585-877-2437
Practice Address - Fax:585-623-8182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-01
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)