Individual
AMY LYNN SHIVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
111 E MAIN ST STE B, ELKTON, MD 21921-5996
(434) 406-3234
Mailing address
185 ADMIRAL COCHRANE DR STE 120, ANNAPOLIS, MD 21401-7600
(443) 440-5788
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17883
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203339900
—
MD
Enumeration date
10/27/2016
Last updated
04/25/2023
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