STEPHANIE NICOLE SHAW (NPI# 1184273252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184273252 |
| Entity Type | Individual |
| Full Name | STEPHANIE NICOLE SHAW |
| Practice Address |
6048 Lake Dr Ypsilanti MI 48197-7046 |
| Practice Telephone | 7344974289 |
| Mailing Telephone | 7344974289 |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2019-09-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801105356 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1164072641 | Stephanie Shaw | Social Worker | 9650 Zelzah Ave, Northridge, CA 91325-2003 | 2019-09-16 |
| 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 |
6048 LAKE DR |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197-7046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
| 1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
| 1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
| 1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
| 1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
| 1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
| 1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
| 1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
| 1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
| 1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
| Find all providers in zip 48197 | ||||
| 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 |
|---|---|---|---|---|
| 1952902199 | Nakedae R. Cooper | Social Worker | 5847 S Mohawk Ave, Ypsilanti, MI 48197-7119 | 2020-11-04 |
| 1922614791 | Anne Marie Solari | Social Worker | 2048 Washtenaw Rd Uppr Level, Ypsilanti, MI 48197-1889 | 2020-09-17 |
| 1285252478 | Layla Khayr | Social Worker | 1240 Leforge Rd Apt P8, Ypsilanti, MI 48198-3536 | 2020-07-14 |
| 1558985804 | Kelly Counseling and Consulting | Social Worker | 1159 Stamford Rd, Ypsilanti, MI 48198-3251 | 2020-06-02 |
| 1376166470 | Lauren Keough | Social Worker | 1204 Kingwood St, Ypsilanti, MI 48197-2142 | 2020-05-22 |
| 1750903886 | Tanyi Charles Agbor-baiyee | Social Worker | 7900 Shire Ln, Ypsilanti, MI 48197-1860 | 2020-05-12 |
| 1447716964 | Jennifer Sue Bowles | Social Worker | 2352 Twin Lakes Dr Apt Ta, Ypsilanti, MI 48197-1477 | 2019-02-20 |
| 1497210926 | Yvette Colon | Social Worker | 124 Pearl St Ste 503, Ypsilanti, MI 48197-2663 | 2019-02-08 |
| 1679037428 | We Do Recover, LLC | Social Worker | 110 Pearl St, Ypsilanti, MI 48197-2650 | 2019-01-25 |
| 1922578665 | Comfortable Counseling Pllc | Social Worker | 2046 Washtenaw Rd, Ypsilanti, MI 48197-1706 | 2018-11-26 |
| Find all providers in YPSILANTI | ||||
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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.