Provider Demographics
NPI:1710002282
Name:PILLOFF, SHAUNA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:SHAUNA
Middle Name:
Last Name:PILLOFF
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:SHAUNA
Other - Middle Name:
Other - Last Name:PILLOFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BRODSKY - MSW
Mailing Address - Street 1:5500 E ATHERTON ST STE 227B
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90815-4018
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5500 E ATHERTON ST STE 227B
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90815-4018
Practice Address - Country:US
Practice Address - Phone:562-285-7153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA276431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical