Provider Demographics
NPI:1316271810
Name:SILVERBERG-RAJNA, SHANA FRIEND (MSW, LCSW)
Entity type:Individual
Prefix:MS
First Name:SHANA
Middle Name:FRIEND
Last Name:SILVERBERG-RAJNA
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41664 CARMEN ST
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94539-4557
Mailing Address - Country:US
Mailing Address - Phone:510-770-0277
Mailing Address - Fax:
Practice Address - Street 1:41664 CARMEN ST
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94539-4557
Practice Address - Country:US
Practice Address - Phone:510-770-0277
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-30
Last Update Date:2009-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA222761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA22276OtherCALIFORNIA BOARD OF BEHAVIORAL SCIENCE