Individual
MRS. BERIEL SHAFEEK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MA LSW LICDC
Contact information
Practice address
1320 WOODMAN DR, SUITE 200, DAYTON, OH 45432-3497
(937) 223-1781
(937) 853-0096
Mailing address
1320 WOODMAN DR, SUITE 200, DAYTON, OH 45432-3497
(937) 223-1781
(937) 853-0096
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
943836
OH
1041C0700X
Clinical Social Worker
S 0020306
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2272231
—
OH
Enumeration date
12/29/2005
Last updated
09/11/2025
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