Provider Demographics
NPI:1558710996
Name:LAYNE, SHAMIEKA (MSW)
Entity Type:Individual
Prefix:MS
First Name:SHAMIEKA
Middle Name:
Last Name:LAYNE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 BADGER RD
Mailing Address - Street 2:
Mailing Address - City:HYDE PARK
Mailing Address - State:MA
Mailing Address - Zip Code:02136-3302
Mailing Address - Country:US
Mailing Address - Phone:617-777-9399
Mailing Address - Fax:
Practice Address - Street 1:44 BADGER RD
Practice Address - Street 2:
Practice Address - City:HYDE PARK
Practice Address - State:MA
Practice Address - Zip Code:02136-3302
Practice Address - Country:US
Practice Address - Phone:617-777-9399
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-07
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical