STEPHANIE SHAW (NPI# 1164072641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164072641 |
| Entity Type | Individual |
| Full Name | STEPHANIE SHAW |
| Practice Address |
9650 Zelzah Ave Northridge CA 91325-2003 |
| Practice Telephone | 8189939311 |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2020-06-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
95019 | CA | Behavioral Health & Social Service Providers |
| N | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184273252 | Stephanie Nicole Shaw | Social Worker | 6048 Lake Dr, Ypsilanti, MI 48197-7046 | 2019-09-10 |
| 1821550336 | Stephanie Shaw | Behavioral Analyst | 2909 Route 100 Ste 110, Orefield, PA 18069-2951 | 2019-04-03 |
| 1396276325 | Stephanie Shaw | Licensed Practical Nurse | 1490 Bunker Hill Rd, Columbus, GA 31907-7412 | 2017-03-22 |
| 1811364995 | Stephanie Shaw | Nurse Practitioner | 823 River Rd, Redfield, AR 72132-9667 | 2015-08-25 |
| 1487973657 | Stephanie Renee Shaw | Dietitian, Registered | 265 E Orange Grove Ave, Suite C, Burbank, CA 91502-1229 | 2010-05-26 |
| 1518572635 | Stephanie Shaw | Occupational Therapist | 872 E Main St, Bridgewater, NJ 08807-3395 | 2020-09-15 |
| 1396208260 | Stephanie Shaw | Student in an Organized Health Care Education/Training Program | 7031 Sw 62nd Ave Fl 33143, South Miami, FL 33143-4701 | 2019-04-09 |
| 1164891933 | Stephanie C Shaw | Social Worker | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2015-09-22 |
| 1508243668 | Stephanie Elizabeth Shaw | Family Medicine | 590 Peter Jefferson Pkwy Ste 250, Charlottesville, VA 22911-4655 | 2015-04-28 |
| 1053680256 | Stephanie Renee Shaw | Pharmacist | 27440 Us Highway 27, Leesburg, FL 34748-8291 | 2011-12-19 |
| Street Address |
9650 ZELZAH AVE |
| City | NORTHRIDGE |
| State | CA |
| Zip Code | 91325-2003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649226788 | Lawrence Martin | Psychologist | 9650 Zelzah Ave, Northridge, CA 91325-2003 | 2006-05-26 |
| 1730789454 | Stephanie Gang | Rehabilitation Practitioner | 9650 Zelzah Ave, Northridge, CA 91325-2003 | 2020-10-30 |
| 1457950743 | Sarai Kashani | Rehabilitation Practitioner | 9650 Zelzah Ave, Northridge, CA 91325-2003 | 2020-10-19 |
| 1265030506 | Sebat Yousef | Student in an Organized Health Care Education/Training Program | 9650 Zelzah Ave, Northridge, CA 91325-2003 | 2020-10-09 |
| 1295332807 | Rosa Sanchez | Rehabilitation Practitioner | 9650 Zelzah Ave, Northridge, CA 91325-2003 | 2020-10-06 |
| 1194332908 | Natalie Castaneda | Student in an Organized Health Care Education/Training Program | 9650 Zelzah Ave, Northridge, CA 91325-2003 | 2020-09-25 |
| 1336755735 | Andrea L Verano | Marriage & Family Therapist | 9650 Zelzah Ave, Northridge, CA 91325-2003 | 2020-09-21 |
| 1366058208 | Nancy Pacheco | Student in an Organized Health Care Education/Training Program | 9650 Zelzah Ave, Northridge, CA 91325-2003 | 2020-09-16 |
| 1811502164 | Darlene Olmedo | Student in an Organized Health Care Education/Training Program | 9650 Zelzah Ave, Northridge, CA 91325-2003 | 2020-09-14 |
| 1073128336 | Lianabell Quevedo | Student in an Organized Health Care Education/Training Program | 9650 Zelzah Ave, Northridge, CA 91325-2003 | 2020-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346961 | Patricia Yamilet Morales | Registered Nurse | 18300 Roscoe Blvd Dignity Health- Northridge Hospital M, Northridge, CA 91325 | 2020-11-02 |
| 1790342897 | Northridge Kidney Center, LLC | Clinic/Center | 17710 Roscoe Blvd, Northridge, CA 91325 | 2019-05-23 |
| 1063078376 | Ozlem Alper | Student in an Organized Health Care Education/Training Program | 18497 Dearborn St, Unit 112, Northridge, CA 91325 | 2019-05-13 |
| 1144883489 | Better Sober | Clinic/Center | 9339 Louse Ave, Northridge, CA 91325 | 2019-04-22 |
| 1902383920 | Ntr Resources, LLC | Pathology | 17433 Nordhoff, Northridge, CA 91325 | 2018-07-23 |
| 1043713969 | Poly-med Pharmacy Inc | Pharmacy | 17313 Roscoe Blvd, Northridge, CA 91325 | 2018-03-16 |
| 1982151940 | Maria Dakessian | Dentist | 18250 Roscoe Blvd Ste 345, Northridge, CA 91325 | 2016-09-07 |
| 1487019469 | Beshoy Gerges | Pharmacist | 8254 White Oak Ave Unit 4, Northridge, CA 91325 | 2015-12-17 |
| 1235520305 | Gema Bautista | Social Worker | 8550 Balboa Blvd Ste 216, Northridge, CA 91325 | 2015-02-11 |
| 1083018873 | Sosann Haider | Pharmacist | 18444 Plummer St., Northridge, CA 91325 | 2014-10-22 |
| Find all providers in zip 91325 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730788282 | Fatima Billoo | Social Worker | 18928 Lassen St, Northridge, CA 91324-1835 | 2020-10-25 |
| 1841846953 | Samantha Michele Jacquin | Social Worker | 10920 Baird Ave, Northridge, CA 91326-2406 | 2019-08-14 |
| 1003392465 | Sandra Nayeli Montelongo Sevilla | Social Worker | 19100 Parthenia St, Northridge, CA 91324-3664 | 2018-07-18 |
| 1538679790 | Evelyn Coyoy | Social Worker | 19100 Parthenia St Apt 1, Northridge, CA 91324-3661 | 2017-10-02 |
| 1427577659 | Beautiful Life Services, Licensed Clinical Social Worker Inc. | Social Worker | 9700 Reseda Blvd # 203, Northridge, CA 91324-2025 | 2017-09-19 |
| 1518347848 | Yuki Tanaka | Social Worker | 8724 Etiwanda Ave Apt 108, Northridge, CA 91325-5102 | 2015-06-02 |
| 1235520305 | Gema Bautista | Social Worker | 8550 Balboa Blvd Ste 216, Northridge, CA 91325 | 2015-02-11 |
| 1265664569 | Misty Lorraine Farber | Social Worker | 19849 Norhoff Street, Northridge, CA 91324 | 2009-08-20 |
| 1174776249 | Christine Lani Johnson | Social Worker | 8949 Reseda Blvd Ste 221, Northridge, CA 91324-5813 | 2008-11-03 |
| 1992962385 | Lorena Hernandez | Social Worker | 19227 Index St, #1, Northridge, CA 91326-3712 | 2008-05-22 |
| Find all providers in NORTHRIDGE | ||||
| City | NORTHRIDGE |
| Zip Code | 91325 |
Please comment or provide details below to improve the information on STEPHANIE SHAW.
| 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.