TINA SHAW (NPI# 1083923742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083923742 |
| Entity Type | Individual |
| Full Name | TINA SHAW |
| Credential | MSW |
| Practice Address |
1471 Elmwood Ave Cranston RI 02910-3849 |
| Practice Telephone | 4014907320 |
| Practice Fax Number | 4018088685 |
| Mailing Telephone | 4014907320 |
| Mailing Fax Number | 4018088685 |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2010-09-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | GH57134 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184178253 | Tina Zell Shaw | Case Manager/Care Coordinator | 2500 Thomas Dr Apt 712, Edmond, OK 73003-2274 | 2016-08-06 |
| Street Address |
1471 ELMWOOD AVE |
| City | CRANSTON |
| State | RI |
| Zip Code | 02910-3849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760534952 | Tania Mafalda Cornelio Weld | Counselor | 1471 Elmwood Ave, Cranston, RI 02910-3849 | 2007-01-17 |
| 1972095115 | Devin Marie Vietri | Counselor | 1471 Elmwood Ave, Cranston, RI 02910-3849 | 2018-06-04 |
| 1033608724 | Hannah J Schilke | Social Worker | 1471 Elmwood Ave, Cranston, RI 02910-3849 | 2018-05-08 |
| 1487158879 | Kristen Gangemi | Counselor | 1471 Elmwood Ave, Cranston, RI 02910-3849 | 2018-03-20 |
| 1225557002 | Sara Morgan | Social Worker | 1471 Elmwood Ave, Cranston, RI 02910-3849 | 2017-09-13 |
| 1518400027 | Yumin Tan-gutierrez | Social Worker | 1471 Elmwood Ave, Cranston, RI 02910-3849 | 2016-12-01 |
| 1669915179 | Anthony Mabray | Counselor | 1471 Elmwood Ave, Cranston, RI 02910-3849 | 2016-12-01 |
| 1831631092 | Heather Jackson | Counselor | 1471 Elmwood Ave, Cranston, RI 02910-3849 | 2016-11-04 |
| 1558719294 | Shawn Eric Parra | Counselor | 1471 Elmwood Ave, Cranston, RI 02910-3849 | 2016-06-02 |
| 1235587585 | Bonnie Alger | Social Worker | 1471 Elmwood Ave, Cranston, RI 02910-3849 | 2016-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417443441 | Luis Guzman | Durable Medical Equipment & Medical Supplies | 29 Rolfe Square, Cranston, MA 02910 | 2018-07-02 |
| 1023535010 | Sarah Pagliarini | Nurse Practitioner | 725 Reservoir Ave Ste 308, Cranston, RI 02910 | 2017-08-29 |
| 1861890105 | Marissa Falco | Counselor | 1471 Elmwood Avenue, Cranston, RI 02910 | 2014-12-19 |
| 1952702425 | Lauren Beth Shibley | Counselor | 825 Pontiac Avenue Apt 14101, Cranston, RI 02910 | 2014-09-15 |
| 1831516632 | Kelly Kilmartin | Counselor | 471 Elmwood Avenue, Cranston, RI 02910 | 2014-03-19 |
| 1376784827 | Michael Eric Schaffer | Counselor | 989 Reservoir Ave Ste 104, Cranston, RI 02910 | 2009-03-13 |
| 1639384829 | Dolores Maiello Ciambrone | Social Worker | 145 Harmon Ave, Cranston, RI 02910 | 2007-05-11 |
| 1750502241 | Mary Jane Boucher | Counselor | Codac Cranston, 1052 Park Ave, Cranston, RI 02910 | 2007-05-01 |
| 1134250715 | Michele Bailey Chaudhry | Social Worker | 935 Reservoir Ave, Cranston, RI 02910 | 2007-03-08 |
| 1487703658 | Karen M Mega | Dentist | 567 Reservoir Ave, Cranston, RI 02910 | 2007-01-09 |
| Find all providers in zip 02910 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316338536 | Vanessa Ferdinandi | Counselor | 8 Permain Rd, Cranston, RI 02920-3942 | 2015-02-10 |
| 1831516632 | Kelly Kilmartin | Counselor | 471 Elmwood Avenue, Cranston, RI 02910 | 2014-03-19 |
| 1962742528 | Yatyee Lee | Counselor | 141 Elmwood Avenue, Cranston, RI 02920 | 2013-02-19 |
| 1437427523 | Claudette May Wallace-boahin | Counselor | 735 New London Ave, Cranston, RI 02920-3033 | 2011-12-05 |
| 1982907580 | Kimberly Quadros | Counselor | 46 Ashbrook Dr, Cranston, RI 02921-7502 | 2010-12-21 |
| 1396938338 | Susan Rose-watts | Counselor | 43 Franklin Ave, Cranston, RI 02920-7738 | 2007-08-23 |
| 1801001359 | Ronald Andrews | Counselor | 83 Rolfe Sq, Cranston, RI 02910-3412 | 2007-05-10 |
| 1376756312 | Esther Danilsa Veras-paniagua | Counselor | 68 Nichols St, Cranston, RI 02920-3915 | 2007-05-07 |
| 1104318138 | Andrew Denicola | Counselor | 111 Howard Ave, Cranston, RI 02920-3001 | 2018-06-05 |
| 1487158879 | Kristen Gangemi | Counselor | 1471 Elmwood Ave, Cranston, RI 02910-3849 | 2018-03-20 |
| Find all providers in CRANSTON | ||||
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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.