Provider Demographics
NPI:1881896603
Name:HONG, SHAUNA OLSON (ASW, PPSC)
Entity type:Individual
Prefix:MS
First Name:SHAUNA
Middle Name:OLSON
Last Name:HONG
Suffix:
Gender:F
Credentials:ASW, PPSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2540 CHARLESTON ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94602-2508
Mailing Address - Country:US
Mailing Address - Phone:510-531-7551
Mailing Address - Fax:510-531-3657
Practice Address - Street 1:3730 LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94602-2468
Practice Address - Country:US
Practice Address - Phone:510-879-1510
Practice Address - Fax:510-879-1519
Is Sole Proprietor?:No
Enumeration Date:2007-06-04
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical