MRS. SHANNON REBECCA RUSSELL (NPI# 1366858557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366858557 |
| Entity Type | Individual |
| Full Name | MRS. SHANNON REBECCA RUSSELL |
| Credential | LCSW |
| Practice Address |
434 Scott Blvd Life Point Solutions Covington KY 41011 |
| Practice Telephone | 8595475777 |
| Practice Fax Number | 8596554882 |
| Mailing Telephone | 8592400714 |
| Mailing Fax Number | 8596554882 |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2019-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124635727 | Shannon Russell | Physical Therapist | 4649 Sunnyside Ave N Ste 302, Seattle, WA 98103-6955 | 2020-09-28 |
| 1770138406 | Shannon M Russell | Registered Nurse | 345 Vigue Rd, Whitefield, ME 04353-3013 | 2019-08-08 |
| 1578923793 | Shannon Russell | Developmental Therapist | 500 Fairway Dr Ste 120, Deerfield Beach, FL 33441-1814 | 2016-03-01 |
| 1346647351 | Shannon Louise Russell | Clinic/Center | 12611 Hymeadow Dr., Austin, TX 78729 | 2014-11-20 |
| 1770705311 | Shannon Russell | Dentist | 2720 Highway 4, Arnold, CA 95223 | 2007-05-03 |
| 1790250504 | Shannon Russell | Case Manager/Care Coordinator | 601 S Edwin C Moses Blvd, Dayton, OH 45417-3424 | 2018-10-08 |
| 1790273647 | Shannon D Russell | Social Worker | 1406 Main St, East Hartford, CT 06108-1684 | 2018-04-26 |
| 1437510005 | Shannon Russell | Behavioral Analyst | 1519 Baxter Ave, Louisville, KY 40205-1008 | 2016-03-10 |
| 1780061697 | Shannon Raye Russell | Occupational Therapist | 1515 Holcombe Blvd, Unit 98, Houston, TX 77030 | 2015-04-29 |
| 1265833909 | Shannon Russell | Nurse Practitioner | 1001 E Primrose St, Springfield, MO 65807-5155 | 2014-09-12 |
| Street Address |
434 SCOTT BLVD LIFE POINT SOLUTIONS |
| City | COVINGTON |
| State | KY |
| Zip Code | 41011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053850925 | Gina Shields New | Physical Therapist | 1500 James Simpson Jr Drive, Covington, KY 41011 | 2017-02-13 |
| 1730623091 | Sarah S. Laube | Dietitian, Registered | 1500 James Simpson Jr. Way, Ste 301, St. Elizabeth Physicians Regional Diabetes Center, Covington, KY 41011 | 2016-12-06 |
| 1629417183 | Mortenson Family Dental Center- Ft Wright Pllc | Dentist | 1983 Dixie Hwy, Ft Mitchell, KY 41011 | 2013-06-18 |
| 1609150325 | Amanda Banks Galer | Social Worker | 1717 Dixie Hwy Ste 409, Ft Wright, KY 41011 | 2011-09-29 |
| 1750510004 | Marilyn Ruth Baker | Speech-Language Pathologist | 425 Garrad Street, Covington, KY 41011 | 2009-07-08 |
| 1093952327 | Douglas H Rank Md Psc | Psychiatry & Neurology | 12 West Pike St, Covington, KY 41011 | 2009-01-08 |
| 1376796722 | Bernice Raeann Calhoun | Counselor | 1955 Dixie Hwy Ste D, Ft Wright, KY 41011 | 2008-10-29 |
| 1609052265 | Marilyn Woods | Social Worker | 722 Scott Street, 3rd Floor, Covington, KY 41011 | 2008-01-14 |
| 1801089933 | Craig Louis Walsh | Dentist | 1846 Beacon Hill Ave, Fort Wright, KY 41011 | 2007-08-22 |
| 1083816888 | Northern Kentucky Mental Health Mental Retardation Regional Board | Clinic/Center | 503 Farrell Drive, Covington, KY 41011 | 2007-06-04 |
| Find all providers in zip 41011 | ||||
| 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 |
|---|---|---|---|---|
| 1144870817 | Catreshia Brundage | Social Worker | 40 Brighton Ridge Ln, Covington, GA 30016-6626 | 2019-09-16 |
| 1073010856 | Jennifer Rhea Dudley | Social Worker | 221 N Monroe Ave, Covington, VA 24426-1409 | 2018-04-09 |
| 1104369602 | Angela Webb Deem | Social Worker | 104 Sherry May St, Covington, VA 24426-6000 | 2016-12-01 |
| 1568904365 | Aundretta Wood | Social Worker | 200 Colser Dr, Covington, GA 30016-0991 | 2016-11-09 |
| 1538615596 | Chandrika Monique Derricho | Social Worker | 140 Cambridge Way, Covington, GA 30016-4943 | 2016-08-30 |
| 1023481447 | Abg LLC | Social Worker | 50 E Rivercenter Blvd, Suite 416, Covington, KY 41011-1683 | 2015-11-06 |
| 1932596673 | Dawn Gritten | Social Worker | 318 4th St Ste B, Covington, IN 47932-1275 | 2015-04-21 |
| 1104222454 | Melissa Patrick | Social Worker | 5108 Newton Dr Ne, Covington, GA 30014-2678 | 2014-11-14 |
| 1619376704 | Lawrence W Schwarz | Social Worker | 208 N Tyler St, Covington, LA 70433-1456 | 2014-08-14 |
| 1730427105 | Dale Ellen Standifer | Social Worker | 20050 Medus St, Covington, LA 70435-0162 | 2013-01-20 |
| Find all providers in COVINGTON | ||||
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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.