Provider Demographics
NPI:1629743950
Name:SHREVE, DANA CAROL (LCSW)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:CAROL
Last Name:SHREVE
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 1:412 E COMMONS
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-5310
Mailing Address - Country:US
Mailing Address - Phone:412-442-1937
Mailing Address - Fax:
Practice Address - Street 1:412 E COMMONS
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-5310
Practice Address - Country:US
Practice Address - Phone:412-442-1937
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-10
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0216811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical