Provider Demographics
NPI:1003906405
Name:SHAVER, ANNE (LCSW #8133)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:
Last Name:SHAVER
Suffix:
Gender:F
Credentials:LCSW #8133
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11781 RED HIBISCUS DR
Mailing Address - Street 2:
Mailing Address - City:BONITA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34135-3108
Mailing Address - Country:US
Mailing Address - Phone:239-825-9040
Mailing Address - Fax:239-948-3159
Practice Address - Street 1:848 1ST AVE N
Practice Address - Street 2:SUITE 350
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-6013
Practice Address - Country:US
Practice Address - Phone:239-649-1414
Practice Address - Fax:239-649-1521
Is Sole Proprietor?:No
Enumeration Date:2006-10-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL81331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical