Provider Demographics
NPI:1861618894
Name:SHAPIRA, JANE OT (MSW LICSW)
Entity type:Individual
Prefix:MS
First Name:JANE
Middle Name:OT
Last Name:SHAPIRA
Suffix:
Gender:F
Credentials:MSW LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 BONNEAU COURT
Mailing Address - Street 2:
Mailing Address - City:SOUTH DARTMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02748-2202
Mailing Address - Country:US
Mailing Address - Phone:508-994-1461
Mailing Address - Fax:
Practice Address - Street 1:405 COUNTY STREET
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-4935
Practice Address - Country:US
Practice Address - Phone:508-990-3343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1131081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical