Provider Demographics
NPI:1043543978
Name:SHIVER, JANET BEYAN (LCSW, MPH)
Entity type:Individual
Prefix:MRS
First Name:JANET
Middle Name:BEYAN
Last Name:SHIVER
Suffix:
Gender:F
Credentials:LCSW, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13101 W WASHINGTON BLVD STE 224
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90066-8128
Mailing Address - Country:US
Mailing Address - Phone:424-354-3774
Mailing Address - Fax:
Practice Address - Street 1:13101 W WASHINGTON BLVD STE 224
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90066-8128
Practice Address - Country:US
Practice Address - Phone:424-354-3774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-10
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA620531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical