Provider Demographics
NPI:1629103676
Name:SHAPIRO, NANCY SHIFRA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:SHIFRA
Last Name:SHAPIRO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 ROYLENCROFT LN
Mailing Address - Street 2:
Mailing Address - City:ROSE VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19063-4237
Mailing Address - Country:US
Mailing Address - Phone:610-566-7691
Mailing Address - Fax:610-672-9727
Practice Address - Street 1:401 W FRONT ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-2634
Practice Address - Country:US
Practice Address - Phone:610-566-7691
Practice Address - Fax:610-672-9727
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2015-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0135381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical