MS. SHANNON DANNIELLE GOODWIN (NPI# 1386782746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386782746 |
| Entity Type | Individual |
| Full Name | MS. SHANNON DANNIELLE GOODWIN |
| Credential | LMSW, AAPS |
| Practice Address |
2627 E Central Ave Wichita KS 67214-4608 |
| Mailing Address |
1215 E Jump St Wichita KS 67216-1360 |
| Practice Telephone | 3166845300 |
| Practice Fax Number | 3166846336 |
| Mailing Telephone | 3163043585 |
| Mailing Fax Number | 3166846336 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
619 | KS | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
4137 | KS | Behavioral Health & Social Service Providers |
| Street Address |
2627 E CENTRAL AVE |
| City | WICHITA |
| State | KS |
| Zip Code | 67214-4608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124591185 | Laquita Patrice Boyede | Durable Medical Equipment & Medical Supplies | 1503 Northeast Parkway, Wichita, KS 67214 | 2019-01-02 |
| 1891270674 | Kathryn Denise Boomer | Physician Assistant | 929 St. Francis N, Wichita, KS 67214 | 2018-09-27 |
| 1447756457 | Cardinal Health 132 LLC | Pharmacy | 527 N Grove Street, Suite 100, Wichita, KS 67214 | 2018-03-30 |
| 1023517174 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 3243 E Murdock Street, Level G, Wichita, KS 67214 | 2018-02-05 |
| 1558887901 | Shonnetta Lachan Gabriel | Counselor | 2707 E. 21st St. N, Wichita, KS 67214 | 2017-08-17 |
| 1417492174 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 803 N Broadway Ave, Wichita, KS 67214 | 2017-01-04 |
| 1952850653 | Rachel J Johnson | Counselor | 805 N Volutsia, Wichita, KS 67214 | 2016-09-23 |
| 1063899813 | Christy Lee Foos | Social Worker | 2707 E. 21st St. North, Healthcore Clinic, Wichita, KS 67214 | 2015-04-30 |
| 1952708018 | William Schroeder Fargo | Specialist | 701 N. Emporia, Wichita, KS 67214 | 2014-12-04 |
| 1447692710 | Valeriya V Hunter | Dentist | 527 N Grove, Wichita, KS 67214 | 2013-07-26 |
| Find all providers in zip 67214 | ||||
| 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 |
|---|---|---|---|---|
| 1124627195 | Cindy K Hearson | Social Worker | 560 N Exposition St Ste B-5, Wichita, KS 67203-5902 | 2020-10-21 |
| 1679126965 | Frances R Waldren | Social Worker | 1028 E 1st St N, Wichita, KS 67214-3903 | 2019-07-17 |
| 1558825695 | Jamaal M Jones | Social Worker | 1005 S Glendale St, Wichita, KS 67218-3203 | 2019-01-23 |
| 1285101311 | Tasha L. Parker LLC | Social Worker | 5517 Plaza Ln, Wichita, KS 67208-4154 | 2018-10-26 |
| 1073004941 | Gloria Hegge | Social Worker | 9415 E Harry St Ste 800, Wichita, KS 67207-5084 | 2018-05-25 |
| 1255838900 | Melanie A Miller Lscsw LLC | Social Worker | 1900 N Amidon Ave Ste 207, Wichita, KS 67203-2140 | 2018-04-10 |
| 1720596240 | Sunheart Holistic, LLC | Social Worker | 200 N Broadway Ave Ste 535, Wichita, KS 67202 | 2018-01-18 |
| 1861911273 | Nicole Renee Fenoglio | Social Worker | 3510 W Central Ave Ste 800, Wichita, KS 67203-4926 | 2017-09-18 |
| 1861922809 | Eloise J Pankratz, Lscsw, LLC | Social Worker | 1143 S Governeour Rd, Wichita, KS 67207-2812 | 2017-06-13 |
| 1629515051 | Cassandra M Hornbaker | Social Worker | 2307 N Vinegate Ct, Wichita, KS 67226-3655 | 2017-01-24 |
| Find all providers in WICHITA | ||||
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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.