MRS. TARA L SHIREK (NPI# 1407067994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407067994 |
| Entity Type | Individual |
| Full Name | MRS. TARA L SHIREK |
| Credential | LICSW |
| Practice Address |
735 Hill Ave Suite 203 Grafton ND 58237 |
| Mailing Address |
2808 17th Ave S Grand Forks ND 58201-4010 |
| Practice Telephone | 7017468376 |
| Practice Fax Number | 7017469872 |
| Mailing Telephone | 7017468376 |
| Mailing Fax Number | 7017469872 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2016-04-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | 2922 | ND | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
2922 | Behavioral Health & Social Service Providers | |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
2922 | ND | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 1456289 | 05 |
| Street Address |
735 HILL AVE SUITE 203 |
| City | GRAFTON |
| State | ND |
| Zip Code | 58237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245748649 | Alissa Lynn Parsons | Case Manager/Care Coordinator | Chase Building, 2nd Floor, 516 Cooper Avenue, Grafton, ND 58237 | 2018-01-19 |
| 1508291626 | Lighthouse Optical Inc. | Technician/Technologist | 317 Cooper Ave, Grafton, ND 58237 | 2013-09-09 |
| 1770893455 | Krystal L Wheeler | Pharmacist | 544 Hill Ave, Grafton, ND 58237 | 2010-10-15 |
| 1174846745 | Michael Goldstone | Emergency Medicine | 6645 154th Ave. Ne, Grafton, ND 58237 | 2010-03-10 |
| 1679635973 | Michael Anthony Bryan | Counselor | 728 Hill Avenue, Grafton, ND 58237 | 2006-12-14 |
| 1669533394 | Valley Ambulance Service Inc | Ambulance | 1317 Griggs Avenue, Grafton, ND 58237 | 2006-12-13 |
| 1932298544 | White Drug Co of Jamestown Inc | Pharmacy | 737 W 12th St, Grafton, ND 58237 | 2006-10-12 |
| 1649363144 | Developmental Center Pharmacy | Nursing Facility/Intermediate Care Facility | 701 West 6th Street, Grafton, ND 58237 | 2006-10-02 |
| 1043224744 | Upper Valley Special Education | Physical Therapist | 516 Cooper Ave, Grafton, ND 58237 | 2006-07-28 |
| 1437570371 | Ashley Mathiason | Occupational Therapist | 516 Cooper Ave, Grafton, ND 58237 | 2013-12-19 |
| Find all providers in zip 58237 | ||||
| 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 |
|---|---|---|---|---|
| 1649753450 | Shannan Martins | Social Worker | 16 Sunrise Ave, Grafton, MA 01519-1006 | 2018-09-08 |
| 1568918118 | Ann Motylewski | Social Worker | 2075 South Avon Beldon Blvd, Grafton, OH 44044 | 2016-09-01 |
| 1649592502 | Victoria Elizabeth Lawrence | Social Worker | 2075 Avon Belden Rd, Grafton, OH 44044-9805 | 2010-02-19 |
| 1477881761 | Rachel A Weatherbie | Social Worker | 2500 Avon Belden Rd, Grafton, OH 44044-9802 | 2009-11-24 |
| 1295890812 | Mark S Gabriel | Social Worker | 275 Woodchcuk Hill Rd, Grafton, VT 05146-0223 | 2006-12-26 |
| 1699854083 | Leila Wilson Bate | Social Worker | 777 Wright Orchard Rd, Grafton, VT 05146-9769 | 2006-11-04 |
| 1962430983 | Cheryl Francis Oliveri | Social Worker | 62 Brigham Hill Rd, Grafton, MA 01519-1135 | 2006-06-29 |
| 1710965884 | Marilyn Gilbert Gabriel | Social Worker | 275 Woodchuck Hill Road, Grafton, VT 05146-0223 | 2006-01-09 |
| 1598383374 | Amanda Jean Sigley | Social Worker | 1 Hospital Plz, Grafton, WV 26354-1283 | 2020-07-08 |
| 1881054211 | Megan Cook Raleigh | Social Worker | 2075 Avon Belden Rd, Grafton, OH 44044-9805 | 2016-02-26 |
| Find all providers in GRAFTON | ||||
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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.