Provider Demographics
NPI:1154036531
Name:GAMBS, SHAYNA KAY (SOCIAL WORKER)
Entity type:Individual
Prefix:MS
First Name:SHAYNA
Middle Name:KAY
Last Name:GAMBS
Suffix:
Gender:F
Credentials:SOCIAL WORKER
Other - Prefix:MS
Other - First Name:SHAYNA
Other - Middle Name:KAY
Other - Last Name:WILLIAMSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:SOCIAL WORKER
Mailing Address - Street 1:921 HARVEY RD NE STE C
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98002-4294
Mailing Address - Country:US
Mailing Address - Phone:253-939-2211
Mailing Address - Fax:253-939-2867
Practice Address - Street 1:921 HARVEY RD NE STE C
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98002-4294
Practice Address - Country:US
Practice Address - Phone:253-939-2211
Practice Address - Fax:253-939-2867
Is Sole Proprietor?:No
Enumeration Date:2023-01-19
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACG613813891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WACG61381389OtherSOCIAL WORKER