SHANNON MIKEAL CARROLL


Address: 2640 International Blvd, Oakland, CA 94601-1512
Phone: 5109220018

SHANNON MIKEAL CARROLL (NPI# 1518440429) 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) 1518440429
Entity Type Individual
Full Name SHANNON MIKEAL CARROLL
Credential ASW
Practice Address 2640 International Blvd
Oakland
CA 94601-1512
Mailing Address 1298 Antelope Creek Dr Unit 814
Roseville
CA 95678-2287
Practice Telephone 5109220018
Mailing Telephone 6829990997
Enumeration Date 2018-09-07
Last Update Date 2018-09-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker 85364 CA Behavioral Health & Social Service Providers

Other Providers SHANNON CARROLL

NPI Name Taxonomy Address Enumeration
1417503152 Shannon C Carroll In Home Supportive Care 405 Buchanan St, Richlands, VA 24641-2414 2019-08-16
1215599170 Shannon Joan Carroll Nurse Practitioner 1448 Richardson St, Baltimore, MD 21230-5322 2019-07-01
1043754955 Shannon Carroll Counselor 120 N Roanoke, Hines, OR 97738 2016-12-12
1740639376 Shannon Grace Carroll Speech-Language Pathologist 12908 Kachina Pl Ne Apt C, Albuquerque, NM 87112-3706 2016-06-04
1912251273 Shannon Carroll Speech-Language Pathologist 7719 224th St E, Graham, WA 98338-7361 2012-11-07
1649737065 Shannon Carroll Physician Assistant 34 Maple St, Norwalk, CT 06850-3894 2019-02-21
1760955405 Shannon Leigh Carroll Behavior Technician 132 Robbs Hill Rd, Lunenburg, MA 01462-2167 2019-01-04
1639658412 Shannon Michael Carroll Physical Therapist 16550 W 78th St Ste B, Eden Prairie, MN 55346-4316 2018-08-12
1932592797 Shannon Carroll Family Medicine 1250 N Bellflower Blvd, Long Beach, CA 90840-0004 2015-03-17
1932515962 Shannon Eugene Carroll Nurse Practitioner 726 Broadway, Suite 471, New York, NY 10003-9502 2014-07-10

Office Location

Street Address 2640 INTERNATIONAL BLVD
City OAKLAND
State CA
Zip Code 94601-1512

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366910143 Oriana Ulani Ides Counselor 2640 International Blvd, Oakland, CA 94601-1512 2018-11-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750988762 Mohini Gadre Student in an Organized Health Care Education/Training Program Casa Del Sol, 1501 Fruitvale Ave, Oakland, CA 94601 2020-10-02
1730704289 Francheska Baloy Student in an Organized Health Care Education/Training Program 13585 San Pablo, San Pablo, CA 94601 2020-06-10
1104476597 Jonathan Ramos Santiago Social Worker 13585 San Pablo, 1st Floor, San Pablo, CA 94601 2019-09-17
1205329802 Stefany Menjivar Student in an Organized Health Care Education/Training Program 3908 International Blvd, Oakland, CA 94601 2018-06-08
1710408430 Martha Alicia Rea Physician Assistant 3301 E. 12th St, Suite 113, Oakland, CA 94601 2017-07-03
1922528744 Jamie Erin Briskin Social Worker 3001 International Blvd., Oakland, CA 94601 2017-06-22
1194254706 Emily Lohmeyer Student in an Organized Health Care Education/Training Program 1501 Fruitvale Avenue, Oakland, CA 94601 2017-06-07
1124551494 Emily Chana Wolfe-roubatis Midwife 1450 Fruitvale Ave Fl 3, Oakland, CA 94601 2017-04-04
1417327776 Ninfa M. Gutierrez Counselor 3124 International Blvd., Oakland, CA 94601 2015-09-30
1942600424 Reliable Care Express, Inc. Non-emergency Medical Transport (VAN) 828 27th Ave, Oakland, CA 94601 2014-09-03
Find all providers in zip 94601

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
1255947958 Diep Le Social Worker 991 39th St Apt B, Oakland, CA 94608-3899 2020-09-17
1467828491 Caitlin Pugh Social Worker 386 14th Street, Oakland, CA 94612 2015-08-13
1053704460 Ralecia Christina Marks Social Worker 5440 Ygnacio Ave, Oakland, CA 94601-5538 2015-03-09
1649668856 Steven Zhu Social Worker 3477 Boston Ave, Oakland, CA 94602-2931 2014-12-23
1023419322 Janine Moa Social Worker 4087 Lincoln Ave, Oakland, CA 94602-2429 2014-09-06
1861805772 Maimunat Talatu Suleman Social Worker 1955 San Pablo Avenue, Oakland, CA 94612 2014-06-09
1386071934 Stanton Edgar Richardson Jr. Social Worker 2116 Broadway Street, Oakland, CA 94612 2013-09-27
1669806287 Norma Raye Ward Social Worker 2116 Broadway Ave, Oakland, CA 94612 2013-08-30
1568803484 Catherine Rose Morelix Social Worker 412 E 19th St Apt 3, Oakland, CA 94606-1830 2013-07-08
1386988400 Michelle D Andrews Social Worker 6027 Holway St, Oakland, CA 94621-4137 2012-11-15
Find all providers in OAKLAND

Competitor

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City OAKLAND
Zip Code 94601

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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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