Mrs. Shannon Christine Lebak
Clinical Social Worker
176 Virginia Ave
Rochester
, Pennsylvania 15074-1723
Mrs. Shannon Christine Lebak
Clinical Social Worker
176 Virginia Ave
Rochester
, Pennsylvania 15074-1723
(724) 770-9096
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About
Features
Specialties
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Mrs. Shannon Christine Lebak
- 100 Shenango Ave
- Sharon, PA
- Zip : 16146-1503
- Fax : (724) 770-9096
- Phone : (724) 770-9095
Second Address
- Mrs. Shannon Christine Lebak
- 176 Virginia Ave
- Rochester, PA
- Zip : 15074-1723
- Fax : (724) 770-9096
- Phone : (724) 770-9095
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1041C0700X | Clinical Social Worker | CW016986 | PA |
National Provider Identifier
| NPI | 1003052754 |
|---|---|
| Provider Name | Mrs. Shannon Christine Lebak |
| First Address | Sharon, PA 16146-1503 |
| Second Address | Rochester, PA 15074-1723 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/12/2008 |
| Last Update Date | 09/06/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.