Provider Demographics
NPI:1275080368
Name:LEVER, SHAINA (LCSW 88671)
Entity Type:Individual
Prefix:
First Name:SHAINA
Middle Name:
Last Name:LEVER
Suffix:
Gender:F
Credentials:LCSW 88671
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4565 CALIFORNIA AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-1507
Mailing Address - Country:US
Mailing Address - Phone:562-422-8472
Mailing Address - Fax:562-422-1102
Practice Address - Street 1:4565 CALIFORNIA AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-1507
Practice Address - Country:US
Practice Address - Phone:562-422-8472
Practice Address - Fax:562-422-1102
Is Sole Proprietor?:No
Enumeration Date:2016-09-06
Last Update Date:2020-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA886171041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical