SHAYNE IMMEN (NPI# 1659993764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659993764 |
Entity Type | Individual |
Full Name | SHAYNE IMMEN |
Practice Address |
721 Fawcett Ave Ste 100 Tacoma WA 98402-5502 |
Mailing Address |
721 Fawcett Ave Ste 101 Tacoma WA 98402-5502 |
Practice Telephone | 2532501243 |
Mailing Telephone | 2532501243 |
Enumeration Date | 2020-05-12 |
Last Update Date | 2020-05-12 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
Street Address |
721 FAWCETT AVE STE 100 |
City | TACOMA |
State | WA |
Zip Code | 98402-5502 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720470057 | Metropolitan Development Council | Community Based Residential Treatment Facility, Mental Illness | 721 Fawcett Ave Ste 100, Tacoma, WA 98402-5502 | 2015-02-24 |
1851917991 | Prossy Nageri Balome | Peer Specialist | 721 Fawcett Ave Ste 100, Tacoma, WA 98402-5502 | 2020-06-24 |
1982220067 | Raymond Lewis | Licensed Practical Nurse | 721 Fawcett Ave Ste 100, Tacoma, WA 98402-5502 | 2020-06-24 |
1720600901 | Roland Benson | Social Worker | 721 Fawcett Ave Ste 100, Tacoma, WA 98402-5502 | 2020-05-11 |
1043831555 | Leath Alexander Dunford | Peer Specialist | 721 Fawcett Ave Ste 100, Tacoma, WA 98402-5502 | 2020-05-06 |
1154970119 | Ambie Nona Brownson | Registered Nurse | 721 Fawcett Ave Ste 100, Tacoma, WA 98402-5502 | 2019-09-11 |
1437702685 | Tetyana Hafurova | Registered Nurse | 721 Fawcett Ave Ste 100, Tacoma, WA 98402-5502 | 2019-07-17 |
1053973990 | Sarah Nyambura | Licensed Practical Nurse | 721 Fawcett Ave Ste 100, Tacoma, WA 98402-5502 | 2019-07-01 |
1306404892 | Robin Mikealson | Registered Nurse | 721 Fawcett Ave Ste 100, Tacoma, WA 98402-5502 | 2019-05-30 |
1881257624 | Tanissia D Alexander | Licensed Practical Nurse | 721 Fawcett Ave Ste 100, Tacoma, WA 98402-5502 | 2019-04-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548898638 | Cimberleigh Mclean | Social Worker | 2367 Tacoma Ave S Ofc 211, Tacoma, WA 98402 | 2020-04-01 |
1831735802 | Nickolas Justin Wise | Case Manager/Care Coordinator | 1159 Market St, Tacoma, WA 98402 | 2019-11-25 |
1841835436 | Michael Roy Bolden | Counselor | 1205 Tacoma Ave S., Suite 1205, Tacoma, WA 98402 | 2019-11-07 |
1073024980 | Megan Elizabeth Charron Mourfield | Denturist | 725 St Helens Ave S, Tacoma, WA 98402 | 2017-10-18 |
1104367937 | Janelle Santiago | Counselor | Mcdonald Smith Building 110, Uw Autism Center Tacoma, Tacoma, WA 98402 | 2017-03-13 |
1891167862 | Tanya Larson Therapy | Community/Behavioral Health | 1102 A. St., Suite 109, (suite 109), Tacoma, WA 98402 | 2015-10-29 |
1609242148 | Ashley Lorraine Dahlgren | Peer Specialist | 702 S 14th St., Tacoma, WA 98402 | 2015-08-19 |
1821416470 | Nicole Villarreal Mccormick | Acupuncturist | 711 A Ct #100, Tacoma, WA 98402 | 2014-04-01 |
1184055824 | Robyn Marie Callahan | Social Worker | 1102 A Street, Suite 202 B, Tacoma, WA 98402 | 2013-12-05 |
1679909410 | Kristin Sweet Fischer | Counselor | 708 Market St Unit 411, Tacoma, WA 98402 | 2013-09-25 |
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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 |
---|---|---|---|---|
1962017772 | Angela Helen Sutter | Social Worker | 3820 Fawcett Ave, Tacoma, WA 98418-6733 | 2020-09-09 |
1720542079 | Mellisa Duffy | Social Worker | A- 122- Social Work 9600 Veterans Drive, Tacoma, WA 98493-0001 | 2019-01-30 |
1427526797 | Carrissa Bentley | Social Worker | 3901 S. Fife Street, Tacoma, WA 98409 | 2018-11-05 |
1801344163 | Leah English | Social Worker | 9924b E Johnson St, Tacoma, WA 98431-0001 | 2016-09-15 |
1275912198 | Sarah Lawson | Social Worker | 4953 31st St Ne, Tacoma, WA 98422-2908 | 2015-05-26 |
1295973220 | Leann Stephens | Social Worker | 4916 Center St Ste E, Tacoma, WA 98409-2348 | 2009-01-29 |
1336313931 | Elza Rice | Social Worker | 5401 N 44th St, Tacoma, WA 98407-3741 | 2008-04-15 |
1265620884 | Gary Thomas Hiam | Social Worker | 10124 48th Ave E, Tacoma, WA 98446-4642 | 2007-10-09 |
1942497789 | Sara Ellen Carrillo | Social Worker | Child and Family Behavioral Health Services, 9040 Jackson Ave, Tacoma, WA 98531-0001 | 2007-09-25 |
1629260005 | Kristene A Harris | Social Worker | Mamc- Ahc Pom, 9040 Jackson Ave, Tacoma, WA 98431 | 2007-08-09 |
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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.