SHAUNTA DOUGLAS


Address: 271 North Ave, Suite 111, New Rochelle, NY 10801-5104
Phone: 9142353674

SHAUNTA DOUGLAS (NPI# 1497179709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497179709
Entity Type Individual
Full Name SHAUNTA DOUGLAS
Practice Address 271 North Ave
Suite 111
New Rochelle
NY 10801-5104
Mailing Address 621 Lefferts Ave
Apt. F1
Brooklyn
NY 11203-1021
Practice Telephone 9142353674
Mailing Telephone 3475260830
Enumeration Date 2014-02-06
Last Update Date 2014-02-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker Behavioral Health & Social Service Providers

Office Location

Street Address 271 NORTH AVE
SUITE 111
City NEW ROCHELLE
State NY
Zip Code 10801-5104

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NPI Name Taxonomy Address Enumeration
1558341560 Sonia M Grant Dietitian, Registered 271 North Ave, New Rochelle, NY 10801-5110 2006-01-18
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1679949036 Professional Consultation Services for Psychology,speech Therapy, Occu Psychologist 271 North Ave, Suite 111, New Rochelle, NY 10801-5104 2015-08-19
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1235548199 Daphne Jordan-joseph Nutritionist 271 North Ave, Suite 111 Ultimate Consultation, New Rochelle, NY 10801 2014-08-05
1730599309 Amy Goldberg Social Worker 271 North Ave, New Rochelle, NY 10801-5104 2014-05-05
1114340692 Lisa Marie Torres Psychologist 271 North Ave, # 111, New Rochelle, NY 10801-5104 2014-02-04
1508288671 Fan Hong Dietitian, Registered 271 North Ave, St 111, New Rochelle, NY 10801-5104 2014-01-09
1679904882 Nefetari Coleman Licensed Practical Nurse 271 North Ave, Suite 304, New Rochelle, NY 10801-5104 2013-12-13
1124456694 Ultimate Consultation and Evaluation Community/Behavioral Health 271 North Ave, New Rochelle, NY 10801-5104 2013-10-21
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Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700483229 Nadine Kane Social Worker 1 Radisson Plz Fl 9, New Rochelle, NY 10801-5768 2020-10-07
1225648728 Makeena Rivers Rivers Social Worker 255 North Ave # 1068, New Rochelle, NY 10801-6450 2020-08-09
1447876479 Amber Michelle Long Social Worker 1 Watkins Pl, New Rochelle, NY 10801-3105 2020-06-25
1912527904 Maria Cristina Bensi Social Worker 68 Rockdale Ave, New Rochelle, NY 10801-6708 2020-04-20
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1043796691 Chelsea Rae Ozeri Social Worker 17 Flower St, New Rochelle, NY 10801-7506 2018-07-17
1023536331 Samori Pennant Social Worker 2 Pell Place, New Rochelle, NY 10804 2017-09-07
1174049068 Lydia X Castro Social Worker 32 Lecount Pl, New Rochelle, NY 10801-6416 2017-08-22
1700335601 Heidi Marroquin Social Worker 40 Weyman Ave, New Rochelle, NY 10805-1409 2016-10-03
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Competitor

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City NEW ROCHELLE
Zip Code 10801

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Dataset Information

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.

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