MRS. SHANDA LEANN WATSON (NPI# 1306130372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306130372 |
| Entity Type | Individual |
| Full Name | MRS. SHANDA LEANN WATSON |
| Credential | LCSW |
| Practice Address |
310 E Main St Cole Camp MO 65325-1240 |
| Mailing Address |
310 E Main St Po Box 194 Cole Camp MO 65325-1240 |
| Practice Telephone | 6606680155 |
| Practice Fax Number | 6606680156 |
| Mailing Telephone | 6606680155 |
| Mailing Fax Number | 6606680156 |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2012-02-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | 2012003674 | MO | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
2012003674 | MO | Behavioral Health & Social Service Providers |
| N | 1041S0200X |
Social Worker Specialization: School |
2012003674 | MO | Behavioral Health & Social Service Providers |
| N | 103K00000X | Behavioral Analyst | 2012003674 | MO | Behavioral Health & Social Service Providers |
| Street Address |
310 E MAIN ST |
| City | COLE CAMP |
| State | MO |
| Zip Code | 65325-1240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962633818 | Ambrose Park Residential Care Facility | Assisted Living Facility | 517 North Oak Street, Cole Camp, MO 65325 | 2009-07-27 |
| 1932251949 | Michael Scott Snell | Pharmacist | 106 S. Maple St., Cole Camp, MO 65325 | 2007-01-18 |
| 1902839095 | Cole Camp Community Ambulance District | Ambulance | 905 E Main Street, Cole Camp, MO 65325 | 2006-07-09 |
| 1154425262 | Eric Stanley Wilson | Dentist | 606 W Main St, Cole Camp, MO 65325 | 2006-09-11 |
| 1164680997 | Cole Camp R-i School District | Local Education Agency (LEA) | 500 S Keeney St, Cole Camp, MO 65325-1059 | 2008-05-29 |
| 1093335416 | Melissa Nienhuis | Specialist/Technologist | 500 S Keeney St, Cole Camp, MO 65325-1059 | 2020-04-26 |
| 1285288472 | Regional Health Care Clinic, Inc | Clinic/Center | 500 S Keeney St, Cole Camp, MO 65325-1059 | 2019-07-26 |
| 1619982246 | Cole Camp Pharmacy Inc | Pharmacy | 106 S Maple St, Cole Camp, MO 65325-1120 | 2006-07-30 |
| 1487051355 | Christine Armantrout | Physical Therapy Assistant | 403 W Main St, Cole Camp, MO 65325-1144 | 2014-11-20 |
| 1194121251 | Amy Vandaveer | Occupational Therapy Assistant | 403 W Main St, Cole Camp, MO 65325-1144 | 2014-11-17 |
| Find all providers in zip 65325 | ||||
| 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 |
|---|---|---|---|---|
| 1306447701 | Constance Fulks | Social Worker | 1141 Wooden Dr, Florissant, MO 63033-5954 | 2020-11-03 |
| 1447850870 | Convergence Counseling Services, LLC | Social Worker | 7612 E 113th St, Kansas City, MO 64134-2946 | 2020-10-26 |
| 1336748599 | Meghan Lyn Mallams | Social Worker | 28 Westwoods Dr Ste 107, Liberty, MO 64068-3520 | 2020-10-20 |
| 1639777154 | Keisa D. Baker | Social Worker | 7716 Arlington Ave, Raytown, MO 64138-1654 | 2020-10-16 |
| 1811595697 | Sarah Nicole Bailey | Social Worker | 27759 Rock Ave, Bell City, MO 63735-8111 | 2020-10-13 |
| 1629676929 | Katrina Louise Routh | Social Worker | 1310 E Kingsley St Ste B, Springfield, MO 65804-7238 | 2020-10-09 |
| 1184221368 | Deborah L Tannenbaum, Lcsw, LLC | Social Worker | 3000 Arrow Rock Dr, Saint Charles, MO 63303-6502 | 2020-10-01 |
| 1407463706 | Allison Nichole Kemble | Social Worker | 806 Shawn Ct, Centralia, MO 65240-4320 | 2020-09-30 |
| 1336756949 | Megan Krystal Draper | Social Worker | 8425 Locust St, Kansas City, MO 64131-2223 | 2020-09-28 |
| 1730796541 | Angelita Pritchett | Social Worker | 908 Glencoe, Park Hills, MO 63601-1931 | 2020-09-25 |
| Find all providers with the same taxonomy | ||||
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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.