SHELLY BLACK (NPI# 1487200028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487200028 |
| Entity Type | Individual |
| Full Name | SHELLY BLACK |
| Credential | LCSW |
| Practice Address |
3021 W Horizon Ridge Pkwy Henderson NV 89052-3990 |
| Mailing Address |
10325 Juniper Creek Ln Las Vegas NV 89145-8853 |
| Practice Telephone | 7026465000 |
| Practice Fax Number | 7026172084 |
| Mailing Telephone | 9076172415 |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2019-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
5643-C | NV | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588172613 | Shelly Black | Occupational Therapy Assistant | 5111 Canyon Dr, Amarillo, TX 79110-3037 | 2018-01-10 |
| Street Address |
3021 W HORIZON RIDGE PKWY |
| City | HENDERSON |
| State | NV |
| Zip Code | 89052-3990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144498643 | Seven Hills Hospital, LLC | Psychiatric Hospital | 3021 W Horizon Ridge Pkwy, Henderson, NV 89052-3990 | 2008-02-19 |
| 1538773858 | Seven Hills Hospital, LLC | Psychiatric Residential Treatment Facility | 3021 W Horizon Ridge Pkwy, Henderson, NV 89052-3990 | 2020-09-03 |
| 1316555691 | Seven Hills Hospital LLC | Psychiatric Residential Treatment Facility | 3021 W Horizon Ridge Pkwy, Henderson, NV 89052-3990 | 2020-07-22 |
| 1336794643 | Elizabeth May Sengkhammee | Social Worker | 3021 W Horizon Ridge Pkwy, Henderson, NV 89052-3990 | 2019-08-04 |
| 1467948984 | Seven Hills Hospital, LLC | Clinic/Center | 3021 W Horizon Ridge Pkwy, Henderson, NV 89052-3990 | 2018-07-09 |
| 1700281615 | Elizabeth Marcuse | Counselor | 3021 W Horizon Ridge Pkwy, Henderson, NV 89052-3990 | 2014-11-04 |
| 1841695772 | Sara Grepke | Counselor | 3021 W Horizon Ridge Pkwy, Henderson, NV 89052-3990 | 2014-11-04 |
| 1336544261 | Chris Adams | Counselor | 3021 W Horizon Ridge Pkwy, Henderson, NV 89052-3990 | 2014-11-04 |
| 1861897795 | Valerie Melton | Counselor | 3021 W Horizon Ridge Pkwy, Henderson, NV 89052-3990 | 2014-11-04 |
| 1114322039 | Althea Clark | Counselor | 3021 W Horizon Ridge Pkwy, Henderson, NV 89052-3990 | 2014-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889112 | Nathan Michael Nasternak | Physical Therapist | 750 Coronado Center Drive, Suite 140, 2212, Henderson, NV 89052 | 2020-10-18 |
| 1558987180 | Braxton Chad Storm | Counselor | 2990 W. Sundridge Heights Pkwy, Suite #140, Henderson, NV 89052 | 2020-06-19 |
| 1558996546 | The Eye Doctor At St. Rose LLC | Eyewear Supplier (Equipment, not the service) | 2645 St. Rose Parkway, Suite C-110, Henderson, NV 89052 | 2020-03-10 |
| 1770138521 | Quinn Dentists of St. Rose, PC | Dentist | 3519 St Rose Parkway, Ste 110, Henderson, NV 89052 | 2019-08-08 |
| 1346802568 | Rickie Kwong Chin Jr. | Optometrist | 695 S. Green Valley Pkwy, Henderson, NV 89052 | 2019-07-08 |
| 1134695646 | Nu Smiles, LLC | Clinic/Center | 2810 W. Horizon Ridge Parkway, Suite #110, Henderson, NV 89052 | 2018-10-23 |
| 1003393497 | Katherine Lee Villarreal | Physical Therapist | 2930 W Horizon Pkwy, Suite 205, Henderson, NV 89052 | 2018-07-27 |
| 1790281889 | Vicki Lorraine Schmidt | Nurse Practitioner | 2900 W. Horizon Ridge Pkwy, Suite 101, Henderson, NV 89052 | 2018-04-05 |
| 1326566969 | Shelby Schiller | Social Worker | 3051 W Horizon Ridge Pkwy Ste 104a, Henderson, NV 89052 | 2017-09-04 |
| 1639696826 | Pca Ventures, LLC | Technician | 2656 Soda Butte Court, Henderson, NV 89052 | 2017-08-28 |
| Find all providers in zip 89052 | ||||
| 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 |
|---|---|---|---|---|
| 1689272130 | Adella Jaeger | Social Worker | 2520 Saint Rose Pkwy Ste 108c, Henderson, NV 89074-7784 | 2020-10-15 |
| 1609331453 | Terri Keener | Social Worker | 1319 Tempo St, Henderson, NV 89052-6461 | 2019-02-06 |
| 1194290692 | Adella Jenny Jaeger | Social Worker | 197 Andada Dr, Henderson, NV 89012-2496 | 2018-10-10 |
| 1184107906 | Jessica L Burton | Social Worker | 25 Red Oak Canyon St Unit 1, Henderson, NV 89012-5973 | 2018-09-07 |
| 1942716600 | Jenna Willis | Social Worker | 10895 Dayton Way, Henderson, CO 80640-7549 | 2017-12-18 |
| 1053820183 | Karmen Smith | Social Worker | 1051 Via Saint Lucia Pl, Henderson, NV 89011-0872 | 2017-09-20 |
| 1326566969 | Shelby Schiller | Social Worker | 3051 W Horizon Ridge Pkwy Ste 104a, Henderson, NV 89052 | 2017-09-04 |
| 1275078149 | Diana Jean Schmitz | Social Worker | 2360 N Horizon Ridge Parkway, Henderson, CLARK COUNTY 89052 | 2016-12-30 |
| 1871949735 | Jessica Lincoln | Social Worker | 10819 Ackers Dr, Henderson, NV 89052-8697 | 2016-05-10 |
| 1437540614 | Kala Hovermale | Social Worker | 220 2nd Street Ste 406, Henderson, KY 42420 | 2015-02-10 |
| Find all providers in HENDERSON | ||||
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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.