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

MS. Irene Shane Klotz, LMSWCPT

Individual provider Professional Counselor · NPI 1295171817

MS. Irene Shane Klotz, LMSWCPT is a Professional Counselor in Bronx, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2013
Specialties on file
9
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Practice location Address checks out

3265 Johnson Ave Ste 105
Bronx, NY 10463-3539
Phone: (917) 796-4456
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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 049540-1 (NY)
Professional Counselor Taxonomy 101YP2500X · Licence 049540-1 (NY)
Behavior Analyst Taxonomy 103K00000X · Licence 049540-1 (NY)
Case Manager/Care Coordinator Taxonomy 171M00000X · Licence 049540-1 (NY)
Community Health Worker Taxonomy 172V00000X · Licence 049540-1 (NY)
Specialist Taxonomy 174400000X · Licence 049540-1 (NY)
Health Educator Taxonomy 174H00000X · Licence 049540-1 (NY)
General Practice Physician Taxonomy 208D00000X · Licence 049540-1 (NY)
Phlebotomy Technician Taxonomy 246RP1900X · Licence 049540-1 (NY)

Record details

NPI number1295171817
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSWCPT
Sole proprietorYes
NPI enumeratedMay 22, 2013
Last updated in NPPESMay 22, 2013

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