Provider Demographics
NPI:1154570810
Name:SHING, SUSAN VL (MSW)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:VL
Last Name:SHING
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20885 REDWOOD RD
Mailing Address - Street 2:#154
Mailing Address - City:CASTRO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94546-5915
Mailing Address - Country:US
Mailing Address - Phone:510-274-1491
Mailing Address - Fax:
Practice Address - Street 1:500 ESTUDILLO AVE
Practice Address - Street 2:
Practice Address - City:SAN LEANDRO
Practice Address - State:CA
Practice Address - Zip Code:94577-4612
Practice Address - Country:US
Practice Address - Phone:510-274-1491
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-17
Last Update Date:2016-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical