| Doctor Name: | SHANA JEAN SCHENCK |
| NPI Number: | 1396046447 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW, CCM |
| License Number: | LCSW-13702 |
| Business Practice Address: | 1520 E Hammer Ln 102 Fort Mohave, AZ - 864266664 |
| Business Phone Number: | 9287884140 |
| Business Fax Number: | |
| Mailing Address: | 1520 E Hammer Ln, 102 FORT MOHAVE |
| State: | AZ |
| Postal Code: | 864266664 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 11/05/2010 |
| NPI Last Update Date: | 02/27/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LCSW-13702 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |