SHAQUALA M SIMMONS (NPI# 1508479742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508479742 |
| Entity Type | Individual |
| Full Name | SHAQUALA M SIMMONS |
| Credential | SOCIAL WORK TRAINEE |
| Practice Address |
2111 Belmont Ave Ste 5 Youngstown OH 44505-2428 |
| Practice Telephone | 3307442468 |
| Practice Fax Number | 3307448625 |
| Mailing Telephone | 3307442468 |
| Mailing Fax Number | 3307448625 |
| Enumeration Date | 2020-08-27 |
| Last Update Date | 2020-08-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | S.2001443-TRNE | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 300702083 | 05 | |
| OH | 341823719 | 05 |
| Street Address |
2111 BELMONT AVE STE 5 |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44505-2428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811545999 | Ishmael Samuel Brown | Counselor | 2111 Belmont Ave Ste 5, Youngstown, OH 44505-2428 | 2019-08-31 |
| 1245865161 | Richard Oliver | Social Worker | 2111 Belmont Ave Ste 5, Youngstown, OH 44505-2428 | 2020-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558924365 | Kristina Terlecki | Massage Therapist | 32 Goldie Rd., Youngstown, OH 44505 | 2019-04-17 |
| 1669937108 | Melissa Ann Brian | Registered Nurse | 615 Churchill - Hubbard Rd., Youngstown, OH 44505 | 2019-02-08 |
| 1902376742 | Shamara Golden | Specialist/Technologist | 3415 5th Ave, Youngstown, OH 44505 | 2018-12-04 |
| 1366912933 | Valor Recovery Center | Substance Abuse Rehabilitation Facility | 45 North Canfield Niles Road, Youngstown, OH 44505 | 2018-11-27 |
| 1104333798 | Sherrell Lynn Moorer | Case Manager/Care Coordinator | 3164 Eastview Drive, Youngstown, OH 44505 | 2018-01-04 |
| 1154875888 | Aba Therapy Solutions | Community/Behavioral Health | 125 Churchill-hubbard Rd, Youngstown, OH 44505 | 2016-08-10 |
| 1871721530 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 200 Goldie Road, Youngstown, OH 44505 | 2009-07-01 |
| 1538254149 | Robert F. Accordino | Physical Therapist | 4531 Belmont Ave., Suite 5, Youngstown, OH 44505 | 2006-10-03 |
| 1659465862 | Union Eyes Optical, Inc | Technician/Technologist | 229 Churchill-hubbard Rd, Youngstown, OH 44505 | 2006-10-03 |
| 1124080239 | Giovanna Vinci-khoury | Specialist | 4970 Belmont Ave, Youngstown, OH 44505 | 2006-04-04 |
| Find all providers in zip 44505 | ||||
| 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 |
|---|---|---|---|---|
| 1699266890 | Jeffrey Michael Magada | Social Worker | 6 Federal Plaza Central Ste 701, Youngstown, OH 44503-1521 | 2018-05-23 |
| 1699205625 | Anna Marie Barksdale | Social Worker | 25 W. Rayen Ave, Youngstown, OH 44503 | 2017-06-13 |
| 1386178069 | Courtney Denen | Social Worker | 3164 Eastview Dr, Youngstown, OH 44505-4225 | 2017-04-19 |
| 1750821567 | Mimi Kim-vass | Social Worker | 2800 Shady Run Rd, Youngstown, OH 44502-2770 | 2017-02-27 |
| 1649631334 | Katina Hetrick | Social Worker | 2611 Homestead Ave, Youngstown, OH 44502-2317 | 2016-03-09 |
| 1306264627 | Brittay Thomas | Social Worker | 338 Ferndale Ave, Youngstown, OH 44511-3204 | 2014-04-03 |
| 1891124830 | Shelley Watts | Social Worker | 1325 5th Ave Fl 2, Youngstown, OH 44504-1702 | 2013-11-08 |
| 1598917650 | Dawn Powell | Social Worker | 1157 Miami St, Youngstown, OH 44505-3745 | 2008-10-21 |
| 1508067356 | Ruby R Grover | Social Worker | 527 N Meridian Road, Youngstown, OH 44509 | 2007-05-30 |
| 1427136431 | Rebecca Ann Nelis | Social Worker | 611 Belmont Avenue, Youngstown, OH 44502 | 2006-11-01 |
| Find all providers in YOUNGSTOWN | ||||
| City | YOUNGSTOWN |
| Zip Code | 44505 |
Please comment or provide details below to improve the information on SHAQUALA M SIMMONS.
| 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.