Provider Demographics
NPI:1871361865
Name:GIVNER, SHAYNA NICOLE (LICENSE SOCIAL WORK)
Entity type:Individual
Prefix:MRS
First Name:SHAYNA
Middle Name:NICOLE
Last Name:GIVNER
Suffix:
Gender:F
Credentials:LICENSE SOCIAL WORK
Other - Prefix:MS
Other - First Name:SHAYNA
Other - Middle Name:NICOLE
Other - Last Name:BENNETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:437 CYPRESS HILL DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15235-2618
Mailing Address - Country:US
Mailing Address - Phone:412-728-3358
Mailing Address - Fax:
Practice Address - Street 1:10 DUFF RD STE 201
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15235-3209
Practice Address - Country:US
Practice Address - Phone:412-871-5391
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-19
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW138792101Y00000X, 101YA0400X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty