Provider Demographics
NPI:1811184286
Name:SHAPIRO-NUNO, TAMRA LYNN (LCSW)
Entity type:Individual
Prefix:MRS
First Name:TAMRA
Middle Name:LYNN
Last Name:SHAPIRO-NUNO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:TAMMY
Other - Middle Name:LYNN
Other - Last Name:SHAPIRO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:15325 MAGNOLIA BLVD APT 205
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-1168
Mailing Address - Country:US
Mailing Address - Phone:818-981-4458
Mailing Address - Fax:
Practice Address - Street 1:15325 MAGNOLIA BLVD APT 205
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-1168
Practice Address - Country:US
Practice Address - Phone:818-522-9573
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-01
Last Update Date:2010-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS194531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical