National Provider Identifier

Shana Verdine, LCSW

Shana Verdine, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 723-7723.

NPI 1265746374Rochester, NYClinical Social Worker

Profile Overview

NPI
1265746374
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
July 30, 2010
Last Updated
November 30, 2015

Practice Location

  • 1565 Long Pond RD
  • Rochester, NY 14626-4122

Phone: (585) 723-7723

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1265746374
Entity Type
Individual
Last Name
Verdine
First Name
Shana
Credential
LCSW
Provider Other Last Name
Sullivan
Provider Other First Name
Shana
Provider Other Credential Text
LMSW
Provider Other Last Name Type Code
1
Mailing Street Address
1565 Long Pond RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14626-4122
Mailing Country
US
Mailing Phone
(585) 723-7723
Practice Street Address
1565 Long Pond RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14626-4122
Practice Country
US
Practice Phone
(585) 723-7723
Enumeration Date
July 30, 2010
Last Updated
November 30, 2015
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)