SHAWN ROBERT ISRAELSEN (NPI# 1629679048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629679048 |
| Entity Type | Individual |
| Full Name | SHAWN ROBERT ISRAELSEN |
| Credential | LMSW, CSW |
| Practice Address |
630 E 1400 N Ste 150 Logan UT 84341-2549 |
| Mailing Address |
2142 N 950 E North Logan UT 84341-1852 |
| Practice Telephone | 4353148474 |
| Mailing Telephone | 4353148474 |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
8722060-3502 | UT | Behavioral Health & Social Service Providers |
| Street Address |
630 E 1400 N STE 150 |
| City | LOGAN |
| State | UT |
| Zip Code | 84341-2549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598866691 | Devon E. Dahlke | Emergency Medicine | 630 E 1400 N Ste 150, Logan, UT 84341-2549 | 2006-09-25 |
| 1487269080 | Sean Nicholas Wright | Physician Assistant | 630 E 1400 N Ste 150, Logan, UT 84341-2549 | 2020-09-10 |
| 1639713589 | Sterling Provider Group | Clinic/Center | 630 E 1400 N Ste 150, Logan, UT 84341-2549 | 2019-11-04 |
| 1134697477 | Adam Garfield | Physician Assistant | 630 E 1400 N Ste 150, Logan, UT 84341-2549 | 2018-11-05 |
| 1265807614 | Sterling Medical LLC | Clinic/Center | 630 E 1400 N Ste 150, Logan, UT 84341-2534 | 2015-12-10 |
| 1316329220 | Jacob Douglas Anderson | Clinic/Center | 630 E 1400 N Ste 150, Logan, UT 84341-2549 | 2015-06-26 |
| 1134567282 | Tod Michael Morrison | Nurse Practitioner | 630 E 1400 N Ste 150, Logan, UT 84341-2549 | 2013-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538701529 | Aubrey Salmond | Registered Nurse | 500 East 1500 N, Logan, UT 84341 | 2019-10-11 |
| 1043702046 | Eye Pros of Logan LLC | Optometrist | 1475 N Main St Ste 103, Logan, UT 84341 | 2018-06-05 |
| 1275050452 | Rylie Jeanne Cook | Student in an Organized Health Care Education/Training Program | 11 Aggie Village Apt. J, Logan, UT 84341 | 2017-08-28 |
| 1093262156 | Jessica Lynn Mcgarry | Social Worker | 1040 N 130 W, Apt 100, Logan, UT 84341 | 2016-09-07 |
| 1740663566 | Paul R Gregory | Occupational Therapy Assistant | 1300 N 500 E Suite 120, Suite 120, Logan, UT 84341 | 2015-06-30 |
| 1851708846 | Bradley Budge | Optometrist | 535 E 1400 N Ste 130, Logan, UT 84341 | 2014-07-22 |
| 1386058709 | Daniel Raymond Carlson | Physician Assistant | 500 E. 1400 N., Logan, UT 84341 | 2014-06-13 |
| 1902220239 | Work Injury Solutions Inc. | Clinic/Center | 630 E 1400 N Ste 140, Logan, UT 84341 | 2014-02-06 |
| 1750627287 | Lee Martin Williams Sr. | Counselor | 186 E. 1800 N., North Logan, UT 84341 | 2013-01-03 |
| 1669747804 | Ronald J Payne | Internal Medicine | 1726 North 1850 East, North Logan, UT 84341 | 2012-03-21 |
| Find all providers in zip 84341 | ||||
| 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 |
|---|---|---|---|---|
| 1154932259 | Katelynn Collins | Social Worker | 101 Dingess St, Logan, WV 25601-3603 | 2020-08-12 |
| 1588274898 | Bethany Anne Allred | Social Worker | 115 Golf Course Rd Ste E, Logan, UT 84321-5934 | 2020-08-03 |
| 1235756248 | Better Way Counseling, LLC | Social Worker | 1034 W Rsi Drive, Unit 100, Office B, Logan, UT 84321-8432 | 2020-06-25 |
| 1093330466 | Melissa Keller Adamson | Social Worker | 1698 E 1460 N, Logan, UT 84341-2981 | 2020-06-11 |
| 1992328496 | Madeleine Pugmire | Social Worker | 95 W 100 S Ste 360, Logan, UT 84321-5831 | 2020-05-19 |
| 1215586672 | Matthew P Erickson | Social Worker | 1683 S Highway 89 # 91, Logan, UT 84321-6212 | 2019-09-09 |
| 1184140345 | Anna Karyn Lacy Whisler | Social Worker | 664 N Main St Ste 203, Logan, UT 84321-6204 | 2017-08-19 |
| 1073034823 | Family Solutions Counseling | Social Worker | 115 Golf Course Rd, Logan, UT 84321-7704 | 2017-07-02 |
| 1508242645 | Kristjana Green | Social Worker | 462 W 1490 N Apt 108, Logan, UT 84341-6616 | 2015-07-30 |
| 1649659764 | Elizabeth Seethaler | Social Worker | 19 W Center St Ste 201, Logan, UT 84321-5803 | 2015-05-21 |
| Find all providers in LOGAN | ||||
Please comment or provide details below to improve the information on SHAWN ROBERT ISRAELSEN.
| 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.