Provider Demographics
NPI:1275290702
Name:GILBERT, SHAYNA (LSW)
Entity Type:Individual
Prefix:
First Name:SHAYNA
Middle Name:
Last Name:GILBERT
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:MRS
Other - First Name:SHAYNA
Other - Middle Name:
Other - Last Name:GILBERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SHAYNA RANDALL, MSW
Mailing Address - Street 1:58 KEYSTONE AVE
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17202-3376
Mailing Address - Country:US
Mailing Address - Phone:609-204-5313
Mailing Address - Fax:
Practice Address - Street 1:100 N COURT ST
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-5783
Practice Address - Country:US
Practice Address - Phone:410-386-2628
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-18
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD27857104100000X
PASW136590104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker