Provider Demographics
NPI:1851685358
Name:MCGEHEE, SHANA (LCSW-C)
Entity Type:Individual
Prefix:
First Name:SHANA
Middle Name:
Last Name:MCGEHEE
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9309 BELAIR RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:NOTTINGHAM
Mailing Address - State:MD
Mailing Address - Zip Code:21236-1605
Mailing Address - Country:US
Mailing Address - Phone:410-529-1309
Mailing Address - Fax:410-529-1005
Practice Address - Street 1:9309 BELAIR RD
Practice Address - Street 2:SUITE A
Practice Address - City:NOTTINGHAM
Practice Address - State:MD
Practice Address - Zip Code:21236-1605
Practice Address - Country:US
Practice Address - Phone:410-529-1309
Practice Address - Fax:410-529-1005
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-02
Last Update Date:2015-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD17000104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker