Provider Demographics
NPI:1598411761
Name:ADELSTEIN, SHAYNA IVANA (LSWAIC, MSW)
Entity Type:Individual
Prefix:
First Name:SHAYNA
Middle Name:IVANA
Last Name:ADELSTEIN
Suffix:
Gender:F
Credentials:LSWAIC, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:506 GROVER ST STE 112
Mailing Address - Street 2:
Mailing Address - City:LYNDEN
Mailing Address - State:WA
Mailing Address - Zip Code:98264-1960
Mailing Address - Country:US
Mailing Address - Phone:360-383-8682
Mailing Address - Fax:
Practice Address - Street 1:3130 HOWE PL STE 101
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-5641
Practice Address - Country:US
Practice Address - Phone:360-383-8682
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-26
Last Update Date:2022-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASC611608291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical