SUSANNA L SHELL-PHILLIPS


Address: 2212 Pierce St, Ste 100, Sioux City, IA 51104-3871
Phone: 7122558323

SUSANNA L SHELL-PHILLIPS (NPI# 1114015922) 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) 1114015922
Entity Type Individual
Full Name SUSANNA L SHELL-PHILLIPS
Credential LISW
Practice Address 2212 Pierce St
Ste 100
Sioux City
IA 51104-3871
Practice Telephone 7122558323
Practice Fax Number 7122558287
Mailing Telephone 7122558323
Mailing Fax Number 7122558287
Enumeration Date 2006-10-10
Last Update Date 2015-04-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
01313 IA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IA 1152322 05

Office Location

Street Address 2212 PIERCE ST
STE 100
City SIOUX CITY
State IA
Zip Code 51104-3871

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912972068 Scott David Cox Social Worker 2212 Pierce St, Su 100, Sioux City, IA 51104-3871 2006-02-22
1730381716 Jessica Renee Luitjohan Psychologist 2212 Pierce St, Su 100, Sioux City, IA 51104-3871 2007-06-01
1962551275 Mental Health Associates,llc Psychologist 2212 Pierce St, Suite 100, Sioux City, IA 51104-3871 2007-01-09
1376630277 Denise Acker Marandola Psychologist 2212 Pierce St, Ste. 100, Sioux City, IA 51104-3871 2006-10-10
1346338134 Michael J Esch Social Worker 2212 Pierce St, Ste 100, Sioux City, IA 51104-3871 2006-10-10
1053372391 Robin Ronald Baker Social Worker 2212 Pierce St, Su 100, Sioux City, IA 51104-3871 2006-03-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578944435 Family First Dental Associates of Iowa, P.C. Dentist 2100 Indian Hills Drive, Sioux City, IA 51104 2015-06-16
1740590785 Khatu Vivienne Erlbacher Pharmacist 515 North Briar Path, Sioux City, IA 51104 2010-10-08
1730407545 Randall Glen Wood Emergency Medicine 2720 Stone Park Blvd., Sioux City, IA 51104 2010-05-04
1790811024 Fred R Rizk Dentist 1923 Nebraska Street, Siuox City, IA 51104 2007-02-23
1255474029 Edilia Maria Marshall Dentist Summit Dental, 2114 Pierce St, Sioux City, IA 51104 2007-02-14
1063553410 Thomas Leonard Tiedeman Dentist 2918 Hamilton Blvd, Upper D Suite 1, Sioux City, IA 51104 2007-02-09
1336209188 Shawn Robert Walton Dentist 2410 Pierce Street, Sioux City, IA 51104 2006-12-11
1477649556 Timothy R Kuntz Dentist 3012 Hamilton Blvd, Sioux City, IA 51104 2006-10-05
1528162732 Duane Kent Nelson Orthopaedic Surgery 2800 Peirce St, Suite 101, Sioux City, IA 51104 2006-09-08
1659482206 Shawn R Walton Dentist 2928 Hamilton Blvd, Suite 102, Sioux City, IA 51104 2006-08-31
Find all providers in zip 51104

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508377391 Katherine Louise Quesenberry Social Worker 822 Douglas St Fl 2, Sioux City, IA 51101-1029 2017-10-19
1598126492 Gladys Smith Social Worker 3500 W 4th St, Sioux City, IA 51103-3203 2016-03-19
1396021580 Cynthia Ann Ebner Social Worker 505 5th St Ste 510, Sioux City, IA 51101-1506 2011-11-01
1063712040 Mary Elizabeth Jordan Social Worker 1551 Indian Hills Dr Ste 206, Sioux City, IA 51104-1857 2010-10-25
1508170366 Teresa Patricia Mcelroy Social Worker 3632 Pierce St, Sioux City, IA 51104-2031 2010-08-03
1124354352 Carol Madsen Watchorn Social Worker Nseling Practice, 915 Pierce St, Sioux City, IA 51101 2009-10-22
1194059402 Emily D Mcgaffin Social Worker 4501 Manor Cir, Sioux City, IA 51104-1046 2009-09-21
1134362007 Robin Maurice Capers Social Worker 1115 5th Street, Sioux City, IA 51101-1316 2009-04-08
1184891293 Jeanette Renee Tobin Social Worker 625 Court Street, Sioux City, IA 51101-1917 2008-05-08
1013181502 Advance Therapy Mental Health and Recovery Services LLC Social Worker 705 Douglas St Ste 325, Benson Bldg, Sioux City, IA 51101-1016 2008-04-16
Find all providers in SIOUX CITY

Competitor

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City SIOUX CITY
Zip Code 51104

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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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