Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Shane Clinton Jaynes, LCSWR

Individual provider Social Worker · NPI 1770521155

Dr. Shane Clinton Jaynes, LCSWR is a Social Worker in Ithaca, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

1481 Trumansburg Rd
Ithaca, NY 14850
Phone: (607) 256-7639
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence R070758 (NY)
Social Worker Taxonomy 104100000X (NY)

Record details

NPI number1770521155
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSWR
Sole proprietorNo
NPI enumeratedJune 4, 2006
Last updated in NPPESSeptember 8, 2008

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