PENNY SHEVAWN WILLIS (NPI# 1609208701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609208701 |
| Entity Type | Individual |
| Full Name | PENNY SHEVAWN WILLIS |
| Credential | LSW |
| Practice Address |
1320 Summer Avenue Cleveland OH 44115 |
| Mailing Address |
3706 West 117th Down Cleveland OH 44111 |
| Practice Telephone | 2168616015 |
| Mailing Telephone | 2163262472 |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2013-07-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | A 1302594 | OH | Behavioral Health & Social Service Providers |
| Street Address |
1320 SUMMER AVENUE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117299 | Ann Marie Louise Melinz | Counselor | 2525 West 22nd Street, Cleveland, OH 44115 | 2020-09-03 |
| 1881231850 | Steven Kelly | Case Management | 3500 Carnegie Ave., Cleveland, OH 44115 | 2019-12-09 |
| 1649821422 | Larry Hollimon | Technician | 2320 East 30th Street, Apt #1304, Cleveland, OH 44115 | 2019-09-24 |
| 1306332408 | Tyler Milam | Counselor | 2334 Prospect Ave., 400, Cleveland, OH 44115 | 2018-07-02 |
| 1780108019 | Victoria Charles | Registered Nurse | 2500 E. 22nd St, Cleveland, OH 44115 | 2017-07-28 |
| 1528580511 | Randol Jamel Kennedy | Internal Medicine | 2351 East 22nd Street Suite 338 W, St. Vincent Charity Medical Center, Cleveland, OH 44115 | 2017-07-11 |
| 1508393422 | Gang Anthony Lu | Dentist | 1110 Euclid Ave Ste 202, Cleveland, OH 44115 | 2017-05-23 |
| 1093116501 | Megan Shiles | Psychologist | 2675 East 30th St., Cleveland, OH 44115 | 2014-09-16 |
| 1003224577 | Efewongbe Benedicta Oleghe | Internal Medicine | 2351 E 22nd Street, St Vincent's Charity Medical Center, Cleveland, OH 44115 | 2014-07-29 |
| 1982032074 | Andrew Winchester | Social Worker | 2500 Carnegie Ave, Cleveland, OH 44115 | 2013-10-29 |
| Find all providers in zip 44115 | ||||
| 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 |
|---|---|---|---|---|
| 1538766027 | Taylor Gallagher | Social Worker | 4310 E 71st St, Cleveland, OH 44105-5759 | 2020-10-07 |
| 1346853371 | Zora Raglow-defranco | Social Worker | 11075 East Blvd, Cleveland, OH 44106-5409 | 2020-08-28 |
| 1740892108 | Eva Robinson-schley | Social Worker | 4118 E 154th St, Cleveland, OH 44128-1932 | 2020-08-18 |
| 1215546734 | Whitney Lyn Powell | Social Worker | 5500 S Marginal Rd Ste 110, Cleveland, OH 44103-1072 | 2020-07-30 |
| 1043838741 | Trina Branham | Social Worker | 1055 Old River Rd Apt 641, Cleveland, OH 44113-5813 | 2020-07-09 |
| 1497386551 | Kanesha Boyd | Social Worker | 15806 Biltmore Ave, Cleveland, OH 44128-1340 | 2020-01-28 |
| 1922647908 | Jocelyn Boyd | Social Worker | 11201 Shaker Blvd Ste 308, Cleveland, OH 44104-3871 | 2019-12-23 |
| 1154969301 | Yvonne Key | Social Worker | 503 E 124th St, Cleveland, OH 44108-1808 | 2019-12-18 |
| 1225675838 | Mporess LLC | Social Worker | 1282 E 167th St, Cleveland, OH 44110-1556 | 2019-12-02 |
| 1649743139 | Chelsea Simon | Social Worker | 3960 W 23rd St, Cleveland, OH 44109-2908 | 2019-01-07 |
| Find all providers in CLEVELAND | ||||
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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.