Individual
TIMOTHY J SHININGER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LCSW LMFT
Contact information
Practice address
1317 W GRAND AVE, PORT WASHINGTON, WI 53074-2075
(262) 284-5789
(262) 284-5907
Mailing address
1317 W GRAND AVE, PORT WASHINGTON, WI 53074-2075
(262) 284-5789
(262) 284-5907
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
4271-123
WI
106H00000X
Marriage & Family Therapist
Primary
406-124
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39730900
—
WI
Enumeration date
05/20/2006
Last updated
09/11/2025
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