Provider Demographics
NPI:1790580660
Name:ODEN, NA'SHAYA D (LSW)
Entity type:Individual
Prefix:
First Name:NA'SHAYA
Middle Name:D
Last Name:ODEN
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5154 MCINTOSH DR
Mailing Address - Street 2:
Mailing Address - City:ALIQUIPPA
Mailing Address - State:PA
Mailing Address - Zip Code:15001-4844
Mailing Address - Country:US
Mailing Address - Phone:724-888-0338
Mailing Address - Fax:
Practice Address - Street 1:1205 GRINGO RD UNIT 1A
Practice Address - Street 2:
Practice Address - City:ALIQUIPPA
Practice Address - State:PA
Practice Address - Zip Code:15001-4824
Practice Address - Country:US
Practice Address - Phone:844-216-1141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-15
Last Update Date:2025-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical