| Doctor Name: | AI MCSHANE |
| NPI Number: | 1043567795 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 44SC05406000 |
| Business Practice Address: | 190 State Route 31 Ste 100 Flemington, NJ - 088225773 |
| Business Phone Number: | 9087886401 |
| Business Fax Number: | 9082375435 |
| Mailing Address: | 2100 Wescott Dr, Hbh 5th Fl FLEMINGTON |
| State: | NJ |
| Postal Code: | 08822 |
| Phone Number: | 9087886401 |
| Fax Number: | 9082375435 |
| NPI Enumeration Date: | 08/13/2012 |
| NPI Last Update Date: | 08/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 44SC05406000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |