Provider Demographics
NPI:1548804289
Name:SPIER, SHANA (LCSW-C)
Entity Type:Individual
Prefix:
First Name:SHANA
Middle Name:
Last Name:SPIER
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:SHANA
Other - Middle Name:
Other - Last Name:SPIER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW-C
Mailing Address - Street 1:113 E CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-4036
Mailing Address - Country:US
Mailing Address - Phone:929-231-9384
Mailing Address - Fax:
Practice Address - Street 1:107 E MOUNT PLEASANT AVE STE 8
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-3038
Practice Address - Country:US
Practice Address - Phone:929-231-9384
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-06
Last Update Date:2019-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD221861041C0700X
NJ44SC058946001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical