SUE A SHAFFER (NPI# 1518961341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518961341 |
| Entity Type | Individual |
| Full Name | SUE A SHAFFER |
| Credential | LCSW-C |
| Practice Address |
170 Thomas Johnson Dr Ste 200 Frederick MD 21702-6200 |
| Practice Telephone | 3016958390 |
| Practice Fax Number | 3016947906 |
| Mailing Telephone | 3016958390 |
| Mailing Fax Number | 3016947906 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
07105 | MD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MAMSI | 343814 | 01 |
| Street Address |
170 THOMAS JOHNSON DR STE 200 |
| City | FREDERICK |
| State | MD |
| Zip Code | 21702-6200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316949647 | Thomas Pollack | Psychologist | 170 Thomas Johnson Dr, Ste 200, Frederick, MD 21702-6200 | 2005-05-31 |
| 1114583093 | Tiffany Reynolds | Nurse Practitioner | 170 Thomas Johnson Dr, Frederick, MD 21702-4354 | 2019-05-15 |
| 1497149058 | Jennifer Maybell Atwell | Social Worker | 170 Thomas Johnson Dr, #200, Frederick, MD 21702-4354 | 2015-03-22 |
| 1871852806 | Nisenfeld & Chilton, Md, Pa | Physical Therapist | 170 Thomas Johnson Dr, Ste. 102, Frederick, MD 21702-4354 | 2012-05-11 |
| 1558643783 | Lee Culp Henry | Social Worker | 170 Thomas Johnson Dr, Suite 200, Frederick, MD 21702-4354 | 2011-09-14 |
| 1760661854 | Jeffrey Varyck Mendell | Psychiatry & Neurology | 170 Thomas Johnson Dr, Suite 200, Frederick, MD 21702-4354 | 2007-10-25 |
| 1013113505 | Michael W. Stern | Social Worker | 170 Thomas Johnson Dr, Ste 200, Frederick, MD 21702-4354 | 2007-06-22 |
| 1104977149 | Caroline Nichols | Physical Therapist | 170 Thomas Johnson Dr, Frederick, MD 21702-4354 | 2007-01-16 |
| 1902990682 | Physiotherapy Associates Inc | Clinic/Center | 170 Thomas Johnson Dr, Suite 104, Frederick, MD 21702-4354 | 2006-10-03 |
| 1518927094 | Cynthia Susan Keysor | Psychologist | 170 Thomas Johnson Dr, Frederick, MD 21702-4354 | 2006-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129714 | Rita Akowuah | Nurse Practitioner | 1302 Baker Place East Apt 14, Frederick, MD 21702 | 2020-09-18 |
| 1912416272 | Morgan Nicely | Behavior Technician | 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 | 2017-09-29 |
| 1154840494 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 | 2017-09-19 |
| 1831617471 | Hazel Elizabeth Gill | Physical Therapy Assistant | 2007 Butterfield Overlook, Frederick, MD 21702 | 2017-09-05 |
| 1831610161 | William Haynes | Nurse Practitioner | 103 Water Land Ct., Frederick, MD 21702 | 2017-06-27 |
| 1497299333 | Timothy Stimach | Pharmacist | 1430b W Patrick St, Frederick, MD 21702 | 2016-12-12 |
| 1184167405 | Maryland Nutrition and Diet Services, L.L.C. | Dietitian, Registered | 1301 W. 7th Street, No. 1607, Frederick, MD 21702 | 2016-11-18 |
| 1649649468 | Oluwakemi Olubunmi Osidele | Nurse Practitioner | 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 | 2015-09-22 |
| 1841678562 | Ventzislava Hristova | Spec/Tech, Pathology | 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 | 2015-05-14 |
| 1023404571 | Mychal Lynn Pilia | Advanced Practice Midwife | 7420 Hayward Road, Suite 104, Frederick, MD 21702 | 2015-04-11 |
| Find all providers in zip 21702 | ||||
| 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 |
|---|---|---|---|---|
| 1932723038 | Jennifer Michelle Clark | Social Worker | 22 Norva Ave, Frederick, MD 21701-6279 | 2020-06-04 |
| 1508413121 | Kristen Williams | Social Worker | 6530 Mercantile Dr W, Frederick, MD 21703-1836 | 2019-08-19 |
| 1982265195 | Diana Stewart | Social Worker | 1003 W 7th St Ste And301, Frederick, MD 21701-4106 | 2019-06-27 |
| 1386204212 | Anna Aileen See-jachowski | Social Worker | 10 N Jefferson St Ste 406, Frederick, MD 21701-4823 | 2019-06-13 |
| 1548726078 | Venus Tomlinson | Social Worker | 2007 Truett Way, Frederick, MD 21702-2122 | 2019-02-20 |
| 1831655364 | Andrea Bieljeski | Social Worker | 10 N Jefferson St Ste 202, Frederick, MD 21701-4865 | 2019-02-20 |
| 1306310305 | Catherine Durrett Griffiths | Social Worker | 2552 Bear Den Rd, Frederick, MD 21701-5230 | 2019-01-14 |
| 1740750983 | Hamblin Phillips | Social Worker | 1445 Taney Ave, Frederick, MD 21702-4311 | 2018-11-30 |
| 1730688961 | Kate Macshane | Social Worker | 1 W Church St, Frederick, MD 21701-5991 | 2018-02-02 |
| 1518465426 | Lisa Mccrohan | Social Worker | 723 N Market St, Frederick, MD 21701-5246 | 2018-01-25 |
| Find all providers in FREDERICK | ||||
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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.