SHADORIE ANNE EWING (NPI# 1023553385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023553385 |
| Entity Type | Individual |
| Full Name | SHADORIE ANNE EWING |
| Credential | CCMA |
| Practice Address |
14644 Hubbell St Detroit MI 48227-4809 |
| Practice Telephone | 3132828447 |
| Mailing Telephone | 3132828447 |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2016-12-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 405300000X | Prevention Professional | Z5H7G8R8 | MI | Other Service Providers |
| Street Address |
14644 HUBBELL ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48227-4809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215493549 | Sammie Edwards | Counselor | 15734 Sussex St, Detroit, MI 48227 | 2019-02-12 |
| 1124505698 | Unique Home of Love | Home Health | 15380 Snowden St, Detroit, MI 48227 | 2018-07-26 |
| 1386150977 | Saterra Squalls | Licensed Practical Nurse | 202048 Wyoming St., Detroit, MI 48227 | 2017-12-19 |
| 1952822967 | Extremely Blessed LLC | Non-emergency Medical Transport (VAN) | 11341 Longacre, Detroit, MI 48227 | 2017-06-29 |
| 1669920070 | Gina Clark-alexander | Technician, Other | 14271 Coyle St, Detroit, MI 48227 | 2016-09-14 |
| 1619423613 | Rala Jenice Ford | Behavioral Analyst | 15461 Whitcomb, Detroit, MI 48227 | 2016-08-30 |
| 1376927442 | Rena Adell Jackson | Homeopath | 14881greenfield Rd, Detroit, MI 48227 | 2015-07-17 |
| 1104226786 | Loving Heart Home Care | In Home Supportive Care | 12875 Archdale, Detroit, MI 48227 | 2014-09-02 |
| 1205265709 | Edward Cornelius Simmons | Massage Therapist | 15756 Forrer Street, Detroit, MI 48227 | 2013-11-05 |
| 1851641286 | Green Meadows Outreach Ministries | Case Management | 15901 Rutherford Street, Detroit, MI 48227 | 2012-09-13 |
| Find all providers in zip 48227 | ||||
| Taxonomy Code | 405300000X |
| Grouping | Other Service Providers |
| Classification | Prevention Professional |
| Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841853009 | Gray Allen Strode | Prevention Professional | 1121 E Mcnichols Rd, Detroit, MI 48203-2857 | 2019-04-15 |
| 1942737853 | Vicky Avery | Prevention Professional | 13560 E Mcnichols Rd, Detroit, MI 48205-3426 | 2017-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609410596 | Justin S Kroll | Prevention Professional | 1902 13th St, Port Huron, MI 48060-6238 | 2019-11-04 |
| 1932661972 | Vision Quest Recovery LLC | Prevention Professional | 32890 Killewald St, Chesterfield, MI 48047-3308 | 2019-04-01 |
| 1114481868 | Keith P Walters | Prevention Professional | 370 Country Club Rd Ste A, Holland, MI 49423-8303 | 2019-01-28 |
| 1588145387 | U1st Transitional Living Program | Prevention Professional | 227 N Winter St, Adrian, MI 49221-2066 | 2018-08-28 |
| 1346788866 | Joshua Akers | Prevention Professional | 625 Brogan Rd, Webberville, MI 48892-9226 | 2017-02-03 |
| 1033729777 | Kevin Figurski | Prevention Professional | 412 Century Ln, Holland, MI 49423-4285 | 2020-08-07 |
| 1780163972 | Jennifer Courtney Gail Webb | Prevention Professional | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2018-08-09 |
| 1134667314 | Alison Pemberton | Prevention Professional | 302 S Main St, Yale, MI 48097-3320 | 2017-02-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.