Most Relevant Information
Provider Data
| NPI Number: | 1003438698 |
| Provider Name: | SHANNON BERKEY LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | CW023716 |
Most Important Dates
| Enumeration Date: | 05/18/2020 |
| Last Updated: | 06/16/2023 |
Provider Practice Location
865 EISENHOWER BLVD
JOHNSTOWN
PA
159043318
Practice Location Phone/Fax
| Phone: | 8142668840 |
| Fax: | 8142664922 |
Provider Mailing Location
865 EISENHOWER BLVD
JOHNSTOWN
PA
159043318
Provider Mailing Phone/Fax
| Phone: | 8142668840 |
| Fax: | 8142664922 |