MICHELLE SHUPP (NPI# 1245394642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245394642 |
| Entity Type | Individual |
| Full Name | MICHELLE SHUPP |
| Credential | BSW,CSCAD |
| Practice Address |
740 Hospital Way Hagerstown MD 21742 |
| Mailing Address |
13114 Pennsylvania Ave Hagerstown MD 21742-2741 |
| Practice Telephone | 2403133329 |
| Mailing Telephone | 2403133329 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2013-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
SC1885 | MD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 705371101 | 05 |
| Street Address |
740 HOSPITAL WAY |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689031643 | Vivian Zimmerman | Registered Nurse | 740 Hospital Way, Hagerstown, MD 21742 | 2016-01-21 |
| 1972900876 | Washinton County Health Department Wits | Clinic/Center | 740 Hospital Way, Hagerstown, MD 21742 | 2014-11-21 |
| 1255730966 | Gayle Schreiber | Counselor | 740 Hospital Way, Hagerstown, MD 21742 | 2014-08-19 |
| 1013325109 | Dia Hannah | Licensed Practical Nurse | 740 Hospital Way, Hagerstown, MD 21742 | 2014-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154950251 | Caleb Lougheed | Student in an Organized Health Care Education/Training Program | Meritus Family Medicine Residency Program, 11110 Medical Campus Road, Suite 200, Hagerstown, MD 21742 | 2020-04-02 |
| 1770054900 | Katherine E Spann | Physician Assistant | Meritus Medical Center, 11116 Medical Campus Road, Hagerstown, MD 21742 | 2018-12-16 |
| 1760988950 | Kelli Jones | Nurse Anesthetist, Certified Registered | 11116 Medical Center, Hagerstown, MD 21742 | 2018-04-05 |
| 1740706324 | Michael E. Anderson, Dds, PC | Dentist | 18709 Crestwood Drive, Hagerstown, MD 21742 | 2017-08-16 |
| 1407387384 | Cynthia Brendle | Physical Therapy Assistant | 19800 Tranquility Circle, Robinwood Campus, Hagerstown, MD 21742 | 2017-03-23 |
| 1326411877 | Structural Elements, LLC | Acupuncturist | 13214 Fountainhead Plaza, Hagerstown, MD 21742 | 2015-11-05 |
| 1386057396 | Ma Pamela Borden | Occupational Therapist | 506 Lynnehaven Drive, Apartment G, Hagerstown, MD 21742 | 2014-06-06 |
| 1275971251 | Arti Babubhai Patel | Denturist | 13133 Gentry Drive, Hagerstown, MD 21742 | 2013-06-12 |
| 1063859551 | Premise Health of Maryland Medical P C | Clinic/Center | 13403 Volvo Way, Medical Suite, Hagerstown, MD 21742 | 2013-05-24 |
| 1386938363 | Rocky Mountain Holdings LLC | Ambulance | 18539 Henson Blvd, Hagerstown, MD 21742 | 2011-06-07 |
| Find all providers in zip 21742 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013533611 | Cynthia Pitcher | Counselor | 11208 Hollywood Rd, Hagerstown, MD 21740-7507 | 2020-06-19 |
| 1285108001 | Alternative Drig & Alcohol Counseling LLC | Counselor | 339 E Antietam Street, Hagerstown, MD 21740 | 2019-01-15 |
| 1275921066 | Phoenix Behavioral Center,llc | Counselor | 1003 The Ter, Hagerstown, MD 21742-3227 | 2014-12-31 |
| 1063800050 | Washington Health County Department-jsap | Counselor | 500 Western Maryland Pkwy, Hagerstown, MD 21740-5125 | 2014-12-30 |
| 1427456631 | Washington County Health Department-cameo | Counselor | 750 Hospital Way, Hagerstown, MD 21742-3108 | 2014-12-22 |
| 1679726160 | Eileen Hinckley Stanzione | Counselor | 329 N Potomac St, Hagerstown, MD 21740-3819 | 2008-10-28 |
| 1255508404 | Qualitycare Internet, LLP | Counselor | 201 North Burhans Blvd., Hagerstown, MD 21740-4677 | 2008-05-15 |
| 1215104989 | Dorrie A. Costa | Counselor | 13114 Pennyslvania Avenue, Hagerstown, MD 21742 | 2008-05-13 |
| 1639346489 | Catherine Ferguson | Counselor | 13114 Pa Ave, Hagerstown, MD 21742-2741 | 2008-05-12 |
| 1275700106 | Sylvia M Harris | Counselor | 18702 Mary Flowers Way, Hagerstown, MD 21740-1494 | 2008-05-09 |
| Find all providers in HAGERSTOWN | ||||
| City | HAGERSTOWN |
| Zip Code | 21742 |
Please comment or provide details below to improve the information on MICHELLE SHUPP.
| 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.