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

Michael Shouvlin, PCSW

Individual provider Clinical Social Worker · NPI 1790538221

Michael Shouvlin, PCSW is a Clinical Social Worker in Jackson, Wyoming. Licensed in Wyoming. Registered with an NPI since 2024.

Licensed in
WY
In the registry since
2024

Practice location Address checks out

640 E Broadway Ave
Jackson, WY 83001-8642
Phone: (307) 733-2046
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence PCSW-1110 (WY)

Record details

NPI number1790538221
Entity typeIndividual (Type 1)
GenderMale
Credentials PCSW
Sole proprietorNo
NPI enumeratedApril 5, 2024
Last updated in NPPESApril 5, 2024
Certification dateApril 5, 2024
Mailing addressPo Box 1868, Jackson, WY 83001-1868

Other providers in Jackson