Provider Demographics
NPI:1760090260
Name:ALI, SHAINA D'ANN (PLMHP, PCMSW)
Entity Type:Individual
Prefix:MRS
First Name:SHAINA
Middle Name:D'ANN
Last Name:ALI
Suffix:
Gender:F
Credentials:PLMHP, PCMSW
Other - Prefix:MS
Other - First Name:SHAINA
Other - Middle Name:D'ANN
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PLMHP, PCMSW
Mailing Address - Street 1:2000 P ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68503-3630
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2000 P ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68503-3630
Practice Address - Country:US
Practice Address - Phone:402-477-0724
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-21
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2299104100000X
NE3486101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker