Provider Demographics
NPI:1073945721
Name:EVERHART, DAYSHA LEE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:DAYSHA
Middle Name:LEE
Last Name:EVERHART
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 WEESE PT
Mailing Address - Street 2:
Mailing Address - City:SHEPHERDSTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:25443-3680
Mailing Address - Country:US
Mailing Address - Phone:304-671-4875
Mailing Address - Fax:304-267-3599
Practice Address - Street 1:400 W. MARTIN STREET
Practice Address - Street 2:
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25401-9991
Practice Address - Country:US
Practice Address - Phone:304-671-4875
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-05
Last Update Date:2013-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVAP009419881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical