SHANNON WILLIARD (NPI# 1073058004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | SW134006 | PA | Behavioral Health & Social Service Providers |
| Street Address |
5351C JAYCEE AVE SUITE 1 |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17112-2997 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 17112 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| 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] |
| 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 | ||||
| City | HARRISBURG |
| Zip Code | 17112 |
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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.