SHAYNE IMMEN


Address: 721 Fawcett Ave Ste 100, Tacoma, WA 98402-5502
Phone: 2532501243

SHAYNE IMMEN (NPI# 1659993764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker Behavioral Health & Social Service Providers

Office Location

Street Address 721 FAWCETT AVE STE 100
City TACOMA
State WA
Zip Code 98402-5502

Providers in the same location

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
Find all providers in the same location

Providers in the same zip code

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
Find all providers in zip 98402

Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
Find all providers in TACOMA

Competitor

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City TACOMA
Zip Code 98402

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Dataset Information

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.

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