Provider Demographics
NPI:1275127318
Name:LANE-SHEPHARD, ZAIDA (MSW, LSW)
Entity Type:Individual
Prefix:
First Name:ZAIDA
Middle Name:
Last Name:LANE-SHEPHARD
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:MRS
Other - First Name:ZAIDA
Other - Middle Name:ANGELIQUE
Other - Last Name:LANE-SHEPHARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ZAIDA LANE
Mailing Address - Street 1:8148 WILDFLOWER LN
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-5623
Mailing Address - Country:US
Mailing Address - Phone:270-790-9544
Mailing Address - Fax:
Practice Address - Street 1:620 ALUM CREEK DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43205-1653
Practice Address - Country:US
Practice Address - Phone:614-300-5395
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-01
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker