Provider Demographics
NPI:1487764650
Name:SHAHEEN-WILLIAMS, ALESHA DENISE (MSW, ACSW, LMSW)
Entity type:Individual
Prefix:MRS
First Name:ALESHA
Middle Name:DENISE
Last Name:SHAHEEN-WILLIAMS
Suffix:
Gender:F
Credentials:MSW, ACSW, LMSW
Other - Prefix:MRS
Other - First Name:ALESHA
Other - Middle Name:DENISE
Other - Last Name:SHAHEEN-GERARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3284 PAULAN DR
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48706-2013
Mailing Address - Country:US
Mailing Address - Phone:989-245-2702
Mailing Address - Fax:
Practice Address - Street 1:3284 PAULAN DR
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48706-2013
Practice Address - Country:US
Practice Address - Phone:989-245-2702
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010678871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI38-3826484OtherTAX IDENTIFICATION NUMBER
MI80-0-89-8774-0OtherBCBS PIN
MI80-0-89-8774-0OtherBCBS PIN
MI38-3826484OtherTAX IDENTIFICATION NUMBER