Provider Demographics
NPI:1538432117
Name:OIKNINE, SHANEE (LCSW)
Entity type:Individual
Prefix:
First Name:SHANEE
Middle Name:
Last Name:OIKNINE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1630 WELSH RD
Mailing Address - Street 2:D25
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19115-5405
Mailing Address - Country:US
Mailing Address - Phone:215-717-7404
Mailing Address - Fax:
Practice Address - Street 1:93 OLD YORK RD
Practice Address - Street 2:JENKINTOWN COMMONS SUITE, 200-203
Practice Address - City:JENKINTOWN
Practice Address - State:PA
Practice Address - Zip Code:19046-3925
Practice Address - Country:US
Practice Address - Phone:215-885-3337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-13
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0171341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical