Provider Demographics
NPI:1679198204
Name:PRASAD, SHEENA SHALINI (MSW)
Entity Type:Individual
Prefix:MS
First Name:SHEENA
Middle Name:SHALINI
Last Name:PRASAD
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 1:16084 SERENITY CT
Mailing Address - Street 2:
Mailing Address - City:DELHI
Mailing Address - State:CA
Mailing Address - Zip Code:95315-9217
Mailing Address - Country:US
Mailing Address - Phone:209-398-0334
Mailing Address - Fax:
Practice Address - Street 1:101 POPLAR AVE
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95354-0509
Practice Address - Country:US
Practice Address - Phone:209-398-0334
Practice Address - Fax:209-491-0876
Is Sole Proprietor?:No
Enumeration Date:2020-06-09
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator