MS. SHANNON MARIE KELLY (NPI# 1205187788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205187788 |
| Entity Type | Individual |
| Full Name | MS. SHANNON MARIE KELLY |
| Credential | LCSW |
| Practice Address |
200 S Wells Rd Ste 250 Ventura CA 93004-1383 |
| Mailing Address |
1040 Flynn Rd Camarillo CA 93012-5092 |
| Practice Telephone | 8056470991 |
| Practice Fax Number | 8056477163 |
| Mailing Telephone | 8056733930 |
| Mailing Fax Number | 8056593217 |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2019-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | LCSW75222 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831751262 | Shannon Kathleen Kelly | Physician Assistant | 5800 Central Gardens Way Apt 204, Palm Beach Gardens, FL 33418-4125 | 2019-07-06 |
| 1699268821 | Shannon Marie Kelly | Dentist | 200 N Royal Tower Dr, Irmo, SC 29063 | 2018-06-12 |
| 1578991790 | Shannon Kelly | Pharmacist | 2792 Lea Lake Rd, Blaine, TN 37709-5214 | 2013-10-25 |
| 1144483421 | Shannon Elizabeth Kelly | Counselor | 115 E Costilla St, Colorado Springs, CO 80903-2101 | 2008-07-07 |
| 1457313330 | Shannon Kelly | Psychologist | 6001 Brick Ct, Suite 201, Winter Park, FL 32792-9425 | 2006-04-05 |
| 1619593241 | Shannon Marie Kelly | Registered Nurse | 3400 N Woods Ln, Rogers, AR 72756-6712 | 2020-06-19 |
| 1366929747 | Shannon Kelly | Social Worker | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2018-07-27 |
| 1679084172 | Shannon Marie Kelly | Speech-Language Pathologist | 900 Washington Ave Ste 602, Waco, TX 76701-1283 | 2017-10-24 |
| 1508306309 | Shannon Kelly | Physician Assistant | 159 E 74th St, Second Floor, New York, NY 10021-3235 | 2017-02-28 |
| 1821535741 | Shannon Kelly | Occupational Therapist | 6960 Destiny Dr Ste 112, Rocklin, CA 95677-2995 | 2017-01-30 |
| Street Address |
200 S WELLS RD STE 250 |
| City | VENTURA |
| State | CA |
| Zip Code | 93004-1383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386968683 | Martha Ramirez | Social Worker | 200 S Wells Rd Ste 250, Ventura, CA 93004-1383 | 2010-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154877181 | April Lacanilao | Licensed Vocational Nurse | 8415 Newtown St., Ventura, CA 93004 | 2016-08-30 |
| 1447633003 | Fernando Maldonado IIi | Pharmacist | 9308-b Telephone Rd, Ventura, CA 93004 | 2015-07-01 |
| 1669761532 | Ted Wrablik | Counselor | 9050 Feather Street, Ventura, CA 93004 | 2011-03-31 |
| 1659689446 | Kathleen Anne Highly | Psychologist | Clinicas Del Camino Real, Incorporated, 200 S. Wells Rd., Suite 200, Ventura, CA 93004 | 2010-09-15 |
| 1518283191 | Arturo Alamillo Vargas | Social Worker | 200 S, Wells Rd., Suite 200, Ventura, CA 93004 | 2010-04-08 |
| 1891929949 | Roxanne Gaggs | Occupational Therapist | 2387 Portola Drive, Suite A, Ventura, CA 93004 | 2009-05-05 |
| 1760623599 | Colleen Copelan, M.d. Inc | Psychiatry & Neurology | 970 South Petit Ave., Suite A, Ventura, CA 93004 | 2009-03-06 |
| 1770720401 | Maria G. Hernandez | Social Worker | 200 S. Wells Rd., Suite 250, Clinicas Del Camino Real, Incorporate, Ventura, CA 93004 | 2009-01-16 |
| 1275725376 | Diane M. Sanchez | Music Therapist | 200 S. Wells Rd., Suite 200, Ventura, CA 93004 | 2007-08-13 |
| 1487863643 | Richard Dale Story | Pharmacist | 681 Topeka Ave, Ventura, CA 93004 | 2007-05-22 |
| Find all providers in zip 93004 | ||||
| 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 |
|---|---|---|---|---|
| 1780129189 | Rosalyn Alvarez | Social Worker | 747 Seneca St Unit C24, Ventura, CA 93001-4426 | 2016-12-21 |
| 1568916393 | Stephanie Ann Bower | Social Worker | 3291 Loma Vista Rd # 302, Ventura, CA 93003-3099 | 2016-08-10 |
| 1265768899 | Kylie Olivia Pedersen-ortiz | Social Worker | 300 Hillmont Street, Bldg. 340, Ste. 302, Ventura, CA 93003 | 2009-11-02 |
| 1245843788 | Sara Bavar | Social Worker | 260 Maple Ct Ste 205, Ventura, CA 93003-9134 | 2020-08-25 |
| 1295182202 | Devena Wilson-taylor | Social Worker | 5740 Ralston St Ste 200, Ventura, CA 93003-6009 | 2016-05-19 |
| 1730558560 | Maya Leah Hoffert Topitzer | Social Worker | 4258 Telegraph Rd, Ventura, CA 93003-3706 | 2015-09-23 |
| 1841628757 | Diana Cruz | Social Worker | 5810 Ralston St Fl 2, Ventura, CA 93003 | 2013-10-31 |
| 1538592431 | Kaycee Noel Gilbert | Social Worker | 1838 Eastman Ave, Suite 100, Ventura, CA 93003-6496 | 2013-08-14 |
| 1992059497 | Aspiranet | Social Worker | 1838 Eastman Ave, Ventura, CA 93003-6496 | 2012-11-05 |
| 1649544891 | Alicia M Morales | Social Worker | 1838 Eastman Ave, Ventura, CA 93003-6496 | 2012-03-06 |
| Find all providers in VENTURA | ||||
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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.