SHAWNA FULTZ


Address: 1201 Fall Ave East Suite C, Twin Falls, ID 83301
Phone: 2087344250

SHAWNA FULTZ (NPI# 1265894687) 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) 1265894687
Entity Type Individual
Full Name SHAWNA FULTZ
Credential LMSW
Practice Address 1201 Fall Ave East Suite C
Twin Falls
ID 83301
Practice Telephone 2087344250
Practice Fax Number 2087344260
Mailing Telephone 2087344250
Mailing Fax Number 2087344260
Enumeration Date 2016-03-24
Last Update Date 2016-03-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker LMSW-34760 ID Behavioral Health & Social Service Providers

Office Location

Street Address 1201 FALL AVE EAST SUITE C
City TWIN FALLS
State ID
Zip Code 83301

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023645918 Matthew Anderson Pharmacist Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 2020-03-23
1780146316 Frontier Pediatric Partners, Pllc Pediatrics 1502 Locust Street N #700, Twin Falls, ID 83301 2019-04-02
1972073377 Wood River Acupuncture Acupuncturist 1625 Addison Ave East, Twin Falls, ID 83301 2018-11-28
1235629874 Lonnie Paul Counselor 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 2018-05-17
1679060966 Christina Jirapha Thongdee Social Worker 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 2018-04-23
1437658499 Tyrel Kevin Ward Chiropractor 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 2018-02-06
1851836381 Tanabell Health Services, Inc Skilled Nursing Facility 1134 Cheney Drive West, Twin Falls, ID 83301 2016-12-19
1578005195 Matthew Carter Physical Therapist 1053 Eastland Drive, Twin Falls, ID 83301 2016-11-14
1790227783 Murvat Usmanova Nurse Practitioner 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 2016-11-08
1447632948 Jessica Mendez Family Medicine 730 N College Rd Ste A, Twin Falls, ID 83301 2015-06-22
Find all providers in zip 83301

Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518574722 Donna S. Morales Social Worker 479 Madison St, Twin Falls, ID 83301-4722 2020-09-30
1194341388 Family Health Services Corporation Social Worker 300 N College Rd W, Twin Falls, ID 83301-3180 2020-06-23
1972154334 Eva Azucena Magana Social Worker 1102 Eastglen Way, Twin Falls, ID 83301-7671 2019-09-26
1588189773 Amber Patreese Graham Social Worker 139 River Vista Pl Ste 106c, Twin Falls, ID 83301-3060 2017-08-08
1417401399 Sara Elsje Hebener Social Worker 2550 Addison Ave E Ste G, Twin Falls, ID 83301-6749 2016-08-09
1255782363 John Brady Madson Social Worker 2869 4th Ave E, Twin Falls, ID 83301-7591 2016-06-29
1588026967 James Boutwell Social Worker 833 Shoshone St N Apt 107, Twin Falls, ID 83301-6359 2016-03-24
1043620115 Braden Clark Mcdonald Social Worker 361 2nd Ave West, Twin Falls, ID 83301 2014-04-29
1447692058 Stacy Ann Stephens Social Worker 550 Polk St Ste A, Twin Falls, ID 83301-3916 2013-07-24
1831461623 Melissa Dawn Osen Social Worker 459 Locust St N Suite 108, Twin Falls, ID 83301 2012-02-08
Find all providers in TWIN FALLS

Competitor

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City TWIN FALLS
Zip Code 83301

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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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