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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 104100000X | Social Worker | 85364 | CA | Behavioral Health & Social Service Providers |
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 |
Street Address |
2640 INTERNATIONAL BLVD |
City | OAKLAND |
State | CA |
Zip Code | 94601-1512 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366910143 | Oriana Ulani Ides | Counselor | 2640 International Blvd, Oakland, CA 94601-1512 | 2018-11-09 |
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 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 |
---|---|---|---|---|
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 |
Please comment or provide details below to improve the information on SHANNON MIKEAL CARROLL.
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.