SHANNON EDMISTON (NPI# 1386046688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386046688 |
| Entity Type | Individual |
| Full Name | SHANNON EDMISTON |
| Credential | MSW |
| Practice Address |
4049 Miller Way Sacramento CA 95817-1332 |
| Practice Telephone | 9164519312 |
| Mailing Telephone | 9164519312 |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2020-08-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1400 A St, Sacramento, CA 958110612 | 9164401500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508278979 | Shannon Edmiston | Counselor | 5820 York Rd, T300, Baltimore, MD 21212-3610 | 2014-05-20 |
| Street Address |
4049 MILLER WAY |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95817-1332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497748107 | Gateway Foundation, Inc. | Substance Abuse Rehabilitation Facility | 4049 Miller Way, Sacramento, CA 95817-1332 | 2005-08-26 |
| 1043818917 | Ineeka Lashae' Bowens | Counselor | 4049 Miller Way, Sacramento, CA 95817-1332 | 2020-10-13 |
| 1013542000 | Bridget Adams | Counselor | 4049 Miller Way, Sacramento, CA 95817-1332 | 2020-03-10 |
| 1205474855 | Andrewline Denise Lewis | Counselor | 4049 Miller Way, Sacramento, CA 95817-1332 | 2019-12-13 |
| 1699325068 | Monica Kay Patterson | Counselor | 4049 Miller Way, Sacramento, CA 95817-1332 | 2019-09-17 |
| 1659921146 | Robin Marie Montero | Counselor | 4049 Miller Way, Sacramento, CA 95817-1332 | 2019-09-16 |
| 1053871509 | Lisa Michelle Gish | Counselor | 4049 Miller Way, Sacramento, CA 95817-1332 | 2019-03-21 |
| 1669969416 | Karen Leanne Shirley | Counselor | 4049 Miller Way, Sacramento, CA 95817-1332 | 2018-04-17 |
| 1063919769 | Coral Lynn Wilson | Counselor | 4049 Miller Way, Sacramento, CA 95817-1332 | 2018-04-09 |
| 1790295962 | Kathleen Marie Granlund | Counselor | 4049 Miller Way, Sacramento, CA 95817-1332 | 2017-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346855103 | Quintin Kuse | Student in an Organized Health Care Education/Training Program | 4610 X Street, Sacramento, Sacramento, CA 95817 | 2020-09-09 |
| 1285259283 | Uc Davis Health | Dietitian, Registered | 2315 Stockton Blvd Sesp 0160, Sacramento, CA 95817 | 2020-06-15 |
| 1942840558 | Michael Marchand-gareau | Ophthalmology | Michael Marchand - Uc Davis Eye Center, 4860 Y Street, Suite 2400, Sacramento, CA 95817 | 2020-01-11 |
| 1467010728 | Jiunn Liang Jonathan Yap | Student in an Organized Health Care Education/Training Program | 4860 Y Str, Ste. 2820, Sacramento, CA 95817 | 2019-06-03 |
| 1083176614 | Kevin Lee | Student in an Organized Health Care Education/Training Program | 2315 Stockton Blvd, Op512, Sacramento, CA 95817 | 2019-04-02 |
| 1508326703 | Ritika Johal | Student in an Organized Health Care Education/Training Program | 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2019-03-22 |
| 1811468838 | Paige Palsgaard | Behavior Technician | 6730 4th Ave Apt 1731d, Sacramento, CA 95817 | 2018-12-17 |
| 1922503408 | Marie Rossi | Student in an Organized Health Care Education/Training Program | 4150 V Street #1100, Sacramento, CA 95817 | 2018-03-27 |
| 1639673791 | Sean Lam | Student in an Organized Health Care Education/Training Program | 4150 V Street #1200, Sacramento, CA 95817 | 2018-03-22 |
| 1124555388 | Tatyana Polyak | Surgery | 2335 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817 | 2017-05-18 |
| Find all providers in zip 95817 | ||||
| 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 |
|---|---|---|---|---|
| 1023590262 | Jeanette Marie Salinas | Social Worker | 3336 Bradshaw Rd Ste 340, Sacramento, CA 95827-2600 | 2018-09-04 |
| 1114446333 | Erin K Johansen | Social Worker | 650 Howe Ave Bldg 400a, Sacramento, CA 95825-4731 | 2017-09-19 |
| 1821515677 | Angela Nicole Horper | Social Worker | 8825 Bridalsmith Dr, Sacramento, CA 95828-5572 | 2017-08-23 |
| 1013430537 | Daniela Lupe | Social Worker | 2800 Amerian Ave, Sacramento, CA 95833 | 2017-07-18 |
| 1164943049 | Vanessa Selene Tinajero | Social Worker | 3615 Macorni Ave, Sacramento, CA 95821 | 2017-06-30 |
| 1083152169 | Irene Enriquez Ramos | Social Worker | 3627 Broadland Street, Sacramento, CA 95834 | 2017-02-08 |
| 1215479217 | Arch Family Services | Social Worker | 6000 Lemon Hill Ave, Sacramento, CA 95824-3264 | 2016-11-08 |
| 1568814804 | Melissa Gallagher | Social Worker | 8004 La Riviera Dr Apt 30, Sacramento, CA 95826-1681 | 2016-07-11 |
| 1568813368 | Chelsea Leigh Castillo | Social Worker | 1250 Sutterville Rd, Sacramento, CA 95822-1101 | 2016-06-23 |
| 1144678525 | Jasmine Ivette Villalta De Alba | Social Worker | 2750 Sutterville Rd # Cottage2, Sacramento, CA 95820-1093 | 2016-05-26 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95817 |
Please comment or provide details below to improve the information on SHANNON EDMISTON.
| 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.