Individual
CAL KLINGENSMITH SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
142 E 27TH ST SUITE 1A, NEW YORK, NY 10016-9057
(929) 259-2059
Mailing address
142 E 27TH ST APT 1A, NEW YORK, NY 10016-9057
(929) 259-2059
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
086888
NY
1041C0700X
Clinical Social Worker
Primary
083627
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03517411
—
NY
Enumeration date
11/03/2012
Last updated
08/05/2021
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