Provider Demographics
NPI:1881225035
Name:STRODE, SHIANE RENE (CSW-I)
Entity type:Individual
Prefix:MS
First Name:SHIANE
Middle Name:RENE
Last Name:STRODE
Suffix:
Gender:F
Credentials:CSW-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:831 WHEELER AVE APT 9
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-0961
Mailing Address - Country:US
Mailing Address - Phone:775-835-7832
Mailing Address - Fax:
Practice Address - Street 1:1575 DELUCCHI LN STE 225
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-6582
Practice Address - Country:US
Practice Address - Phone:775-835-7832
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-27
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV12383-M104100000X
106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician