Provider Demographics
NPI:1508001595
Name:SHIVER, NANCY E (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:E
Last Name:SHIVER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 W PREDMORE RD
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48363-1234
Mailing Address - Country:US
Mailing Address - Phone:248-390-5874
Mailing Address - Fax:
Practice Address - Street 1:1600 W PREDMORE RD
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:MI
Practice Address - Zip Code:48363-1234
Practice Address - Country:US
Practice Address - Phone:248-390-5874
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-05
Last Update Date:2008-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801082082104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker