Laken Raine Shelton, LMSW
Social Worker in New York, NY. Individual provider (NPI-1).
NPI number1316615917
StatusActive
Last updated in NPPESAug 31, 2021
Details
- NPI
- 1316615917
- Entity type
- Individual (NPI-1)
- Name
- Ms. Laken Raine Shelton
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 31, 2021
- Certification date
- Aug 26, 2021
- Last updated
- Aug 31, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 113047 | NY | Yes |
Practice location
590 6th AveNew York, NY 10011-2022
Phone 212-633-9300
Mailing address
230 W 24th St Apt 3eNew York, NY 10011-1705
Phone 903-431-5000
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