Individual
ANGELA SHIREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4012 MAIN STREET, PO BOX 187, HAWTHORN, PA 16230
(814) 275-1237
(817) 484-5004
Mailing address
4012 MAIN STREET, PO BOX 187, HAWTHORN, PA 16230
(814) 275-1237
(817) 484-5004
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SW128212
PA
1041C0700X
Clinical Social Worker
Primary
CW017806
PA
Other
Enumeration date
08/22/2013
Last updated
03/03/2026
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