Provider Demographics
NPI:1689823296
Name:CHANDLER, SHAWNA (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:SHAWNA
Middle Name:
Last Name:CHANDLER
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:940 S SILVERADO ST
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85296-3552
Mailing Address - Country:US
Mailing Address - Phone:307-272-7663
Mailing Address - Fax:
Practice Address - Street 1:940 S SILVERADO ST
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85296-3552
Practice Address - Country:US
Practice Address - Phone:307-272-7663
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-18
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW177301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical