Doctor Name: | MRS. SHANNON CHRISTINE LEBAK |
NPI Number: | 1003052754 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LCSW |
License Number: | CW016986 |
Business Practice Address: | 1302 7th Ave Beaver Falls, PA - 150104217 |
Business Phone Number: | 7248430314 |
Business Fax Number: | 7248430316 |
Mailing Address: | 100 Shenango Ave, SHARON |
State: | PA |
Postal Code: | 161461503 |
Phone Number: | 7248430314 |
Fax Number: | 7248430316 |
NPI Enumeration Date: | 12/31/2008 |
NPI Last Update Date: | 08/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CW016986 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |