SHUKAIRO M. BAKER (NPI# 1659666444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659666444 |
| Entity Type | Individual |
| Full Name | SHUKAIRO M. BAKER |
| Other Name | SHUKAIRO MACK TOWNSEND |
| Credential | LCSW, LISW-CP, LCAS |
| Practice Address |
1365 Ebenezer Rd Rock Hill SC 29732 |
| Mailing Address |
1365 Ebenezer Rd Rock Hill SC 29732-2336 |
| Practice Telephone | 8037087556 |
| Practice Fax Number | 8037087801 |
| Mailing Telephone | 8037087556 |
| Mailing Fax Number | 8037087801 |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2019-07-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
C008389 | NC | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
11094 | SC | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
C008389 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | PTAN | Q554550281 | 01 |
| NC | 1659666444 | 05 | |
| SC | SW1253 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1149 Camden Ave, Rock Hill, SC 297323014 | 8037087556 | 8037087801 |
| 1407 Main Hwy, Bamberg, SC 290038261 | 8037087556 | 8037087801 |
| 9367 Two Notch Rd Ste A, Columbia, SC 292236450 | 8037087556 | 8037087801 |
| Street Address |
1365 EBENEZER RD |
| City | ROCK HILL |
| State | SC |
| Zip Code | 29732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154954634 | Mind Body & Soul Behavioral Health and Wellness LLC | Community/Behavioral Health | 1365 Ebenezer Rd, Rock Hill, SC 29732-2336 | 2020-02-12 |
| 1396177523 | Jeri Webb Worley | Social Worker | 1365 Ebenezer Rd, Rock Hill, SC 29732-2336 | 2013-07-30 |
| 1467705038 | Carole B Sarn | Counselor | 1365 Ebenezer Rd, Rock Hill, SC 29732-2336 | 2012-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023659471 | Jessie M. Armstrong | Counselor | 199 S Herlong Avenue, Rock Hill, SC 29732 | 2019-10-07 |
| 1215407861 | Alicia Johnson | Occupational Therapist | 2025 Ebenezer Rd Suite H, Rock Hill, SC 29732 | 2018-11-27 |
| 1346716909 | Leslie Marie Metzler | Nurse Practitioner | 125 Amendment Ave, Rock Hill, SC 29732 | 2018-10-22 |
| 1356824668 | Laurie E Grove | Counselor | 508 Bethel Street, Clover, SC 29732 | 2018-09-12 |
| 1366924441 | Chinyere Gill-smith | Occupational Therapist | 2390 127 Murrah Drive, Rock Hill, SC 29732 | 2018-09-05 |
| 1053825513 | Community Medicine Foundation Inc | Clinic/Center | 205 Piedmont Blvd. Suite 100, Catawba Community Mental Health Services York Adult Ser, Rock Hill, SC 29732 | 2017-11-20 |
| 1952824906 | Miriam George-norman | Occupational Therapist | 831 Mcdow Drive, Rock Hill, SC 29732 | 2017-07-21 |
| 1255854550 | Courtney Costa | Counselor | 199 S. Herlong Avenue, Rock Hill, NC 29732 | 2017-07-19 |
| 1861913022 | Drs Misiek, Farrell, Farrell, Nale, Cook, Kapitan, Mohamed & Franco Pa | Oral & Maxillofacial Surgery | 1761 Ebenezer Road, Rock Hill, SC 29732 | 2017-06-28 |
| 1396275806 | Chrysalis Autism Center, Inc | Assistant Behavior Analyst | 1547 Cherry Rd, Rock Hill, SC 29732 | 2017-06-16 |
| Find all providers in zip 29732 | ||||
| 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 |
|---|---|---|---|---|
| 1487260501 | Kayla E Pengelski | Social Worker | 1030 Riverwalk Pkwy Ste 203, Rock Hill, SC 29730-4265 | 2020-09-23 |
| 1003421108 | Julia G Bagley | Social Worker | 3206 Newcastle Dr, Rock Hill, SC 29732-8810 | 2020-09-15 |
| 1073133559 | Jimiko W Ford | Social Worker | 1009 Ellis Pond Dr, Rock Hill, SC 29730-7881 | 2020-04-24 |
| 1053977140 | Melissa Curtiss | Social Worker | 1309 Springwood Ln, Rock Hill, SC 29730-8052 | 2019-05-14 |
| 1295210318 | Selah Services, LLC | Social Worker | 2424 India Hook Rd Ste 140, Rock Hill, SC 29732-1278 | 2018-09-25 |
| 1437642824 | Embrace Clinical Services LLC | Social Worker | 331 East Main Streest, Rock Hill, SC 29730 | 2018-06-11 |
| 1780197905 | All Walks of Life LLC | Social Worker | 150 Oakland Ave Ste 233, Rock Hill, SC 29730-4073 | 2017-11-09 |
| 1396157632 | Rachel Benkler | Social Worker | 2424 India Hook Road, Suite 140, Rock Hill, SC 29730 | 2014-05-21 |
| 1689091134 | Patrice Lachella Heath | Social Worker | 858 Cherry Rd, Rock Hill, SC 29732-3142 | 2014-03-22 |
| 1023439353 | Takima Nelson | Social Worker | 448 Lakeshore Pkwy Ste 200, Rock Hill, SC 29730-4264 | 2014-01-06 |
| Find all providers in ROCK HILL | ||||
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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.