Individual
CARLY SHAFFER
Active
Individual
CARLY SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LCADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00385700
NJ
101YM0800X
Mental Health Counselor
44SL06815000
NJ
1041C0700X
Clinical Social Worker
Primary
44SC06485200
NJ
Other
Enumeration date
07/29/2024
Last updated
07/08/2026
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