SHANNON WILLIARD


Address: 5351c Jaycee Ave, Suite 1, Harrisburg, PA 17112-2997
Phone: 7176572080

SHANNON WILLIARD (NPI# 1073058004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073058004
Entity Type Individual
Full Name SHANNON WILLIARD
Practice Address 5351c Jaycee Ave
Suite 1
Harrisburg
PA 17112-2997
Mailing Address 625 W Elm Ave
Hanover
PA 17331-5125
Practice Telephone 7176572080
Enumeration Date 2016-12-29
Last Update Date 2016-12-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker SW134006 PA Behavioral Health & Social Service Providers

Office Location

Street Address 5351C JAYCEE AVE
SUITE 1
City HARRISBURG
State PA
Zip Code 17112-2997

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417261694 Crissy Tamiko Miyake Psychologist 5351c Jaycee Ave, Suite 1, Harrisburg, PA 17112-2997 2010-07-30
1902414576 Lori Peters Counselor 5351c Jaycee Ave, Harrisburg, PA 17112-2997 2020-07-20
1760020028 Taylor Stoner Social Worker 5351c Jaycee Ave, Harrisburg, PA 17112-2997 2019-12-18
1285191932 Devann O'connell Behavioral Analyst 5351c Jaycee Ave, Harrisburg, PA 17112-2997 2019-02-28
1356825558 Briana Gordon Behavioral Analyst 5351c Jaycee Ave, Harrisburg, PA 17112-2997 2018-09-24
1891234910 Kyle Newkam Counselor 5351c Jaycee Ave, Suite 1, Harrisburg, PA 17112-2997 2017-02-22
1871037432 Jessie Riley Behavioral Analyst 5351c Jaycee Ave, Suite 1, Harrisburg, PA 17112-2997 2016-12-15
1194267674 Alyssa Steele Behavioral Analyst 5351c Jaycee Ave, Harrisburg, PA 17112-2997 2016-11-15
1013465517 Andrew Shaffer Counselor 5351c Jaycee Ave, Harrisburg, PA 17112-2997 2016-09-14
1447658141 Jacob Faust Social Worker 5351c Jaycee Ave, Harrisburg, PA 17112-2997 2014-12-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629549928 Purposefully Soaring Counseling Services LLC Counselor 1537 Devonshire Rd, Suite G, Harrisburg, PA 17112 2018-12-12
1558839175 Blue Diamond Homecare LLC In Home Supportive Care 2799 Monticello Ln, Harrisburg, PA 17112 2018-11-13
1326539057 Erin Elizabeth Jones Student in an Organized Health Care Education/Training Program 121 Nyes Road Suite A, Hp09, Harrisburg, PA 17112 2018-05-29
1003307067 Michael Timothy Partin Family Medicine 121 Nyes Road, Suite A, Hp09, Harrisburg, PA 17112 2018-05-25
1427576024 Lauren Rittle Specialist/Technologist 4426 Greenridge Lane, Harrisburg, PA 17112 2017-09-03
1255856233 Jan Eiko Ikeda Physical Therapist 5425 Jonestown Road, Suite 100, Harrisburg, PA 17112 2017-08-10
1417471574 Luke Borden Berguson Physical Therapist 5425 Jonestown Rd Ste 100, Harrisburg, PA 17112 2017-07-31
1578931374 Kelsey Janelle Wallen Physical Therapist 5425 Jonestown Road Ste. 100, Harrisburg, PA 17112 2015-09-10
1609276195 Matthew Edward Conroy Physical Therapist 5425 Jonestown Road, Ste. 100, Outpatient Physical Therapy Network, LLC D/b/a Madden P, Harrisburg, PA 17112 2014-09-03
1144665399 William Schuler Pierce Thoracic Surgery (Cardiothoracic Vascular Surgery) 1201 Saradana Road, Harrisburg, PA 17112 2013-05-01
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Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003451725 Martha Christine Brown Social Worker 1414 Zarker St, Harrisburg, PA 17104-1366 2019-11-18
1386298404 Purposefully Soaring Counseling Services LLC Social Worker 5137 Devonshire Rd, Harrisburg, PA 17112-3923 2019-07-26
1881151116 Maureen Mccarthy Social Worker 100 N Cameron St Ste 201-east, Harrisburg, PA 17101-2424 2019-02-22
1013491471 Airika Pollard Social Worker 137 Oaklea Rd, Harrisburg, PA 17110-3970 2018-09-21
1649713892 Jessica Hill Social Worker 4309 Linglestown Rd Ste 214, Harrisburg, PA 17112-8607 2016-11-21
1356892137 Kathleen Marie Warner Social Worker 212 Muench St, Harrisburg, PA 17102-2228 2016-10-17
1356730501 Rachel Claire Clark Social Worker 206 Reily Street, Harrisburg, PA 17102 2015-01-12
1417363599 Amy L Slenker Social Worker 2626 N 3rd St Fl 2, Penn State Hershey Tlc Clinic, Harrisburg, PA 17110-2044 2014-07-09
1164833976 Angela Krause I Social Worker 6504 Liptak Dr, Harrisburg, PA 17112-3394 2014-05-14
1821409020 Maria Jackson Social Worker 1501 N 21st St, Harrisburg, PA 17109-3308 2014-05-11
Find all providers in HARRISBURG

Competitor

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City HARRISBURG
Zip Code 17112

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Dataset Information

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.

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