Provider Demographics
NPI:1003458845
Name:KAHANI, SHAY (LCSW)
Entity type:Individual
Prefix:MRS
First Name:SHAY
Middle Name:
Last Name:KAHANI
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 1:23218 CEDAR RD
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-1060
Mailing Address - Country:US
Mailing Address - Phone:330-550-5995
Mailing Address - Fax:
Practice Address - Street 1:2701 TRANSIT RD STE 141
Practice Address - Street 2:
Practice Address - City:ELMA
Practice Address - State:NY
Practice Address - Zip Code:14059-9399
Practice Address - Country:US
Practice Address - Phone:330-550-5995
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-14
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical