SHANNON T PORCH


Address: 1724 Camino Del Valle Sw, Adobe Acres Es, Albuquerque, NM 87105-6003
Phone: 5058774799

SHANNON T PORCH (NPI# 1669500252) 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) 1669500252
Entity Type Individual
Full Name SHANNON T PORCH
Credential SW
Practice Address 1724 Camino Del Valle Sw
Adobe Acres Es
Albuquerque
NM 87105-6003
Practice Telephone 5058774799
Mailing Telephone 5058774799
Enumeration Date 2007-03-02
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 104100000X Social Worker M 4769 NM Behavioral Health & Social Service Providers
X 1041S0200X Social Worker
Specialization: School
M 4769 NM Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NM 17989728 05

Office Location

Street Address 1724 CAMINO DEL VALLE SW
ADOBE ACRES ES
City ALBUQUERQUE
State NM
Zip Code 87105-6003

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104012038 Laurie Egbert Occupational Therapist 1724 Camino Del Valle Sw, Adobe Acres Es, Albuquerque, NM 87105-6003 2007-09-25

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NPI Name Taxonomy Address Enumeration
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1316439920 Deann Nieto Rehabilitation Practitioner 2001b El Centro Familiar Blvd Sw, Albuquerque, NM 87105 2018-05-31
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1306360391 Bendiciones Home Health Care Home Health 5500 Cleo Rd. Sw, Albuquerque, NM 87105 2017-08-01
1578927711 Clarence Mills Counselor 1528 Five Points Rd Nw, Albuquerque, NM 87105 2016-04-13
1386024727 Rachel Elaine Kadetz Counselor 1101 Lopez Rd. Sw, Albuquerque, NM 87105 2015-06-01
1598160772 Sandra Jean Taylor Lactation Consultant, Non-RN 1305 Blake Rd Sw, Albuquerque, NM 87105 2014-10-30
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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
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1184261539 Theresa Annette Bustos Social Worker 1900 Atrisco Dr Nw, Albuquerque, NM 87120-1146 2019-12-04
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1639727571 Celina Miera Social Worker 119 Industrial Ave Ne, Albuquerque, NM 87107-2283 2019-09-03
1174170955 Stephanie Michele Camfield Social Worker 5323 Menaul Blvd Ne, Albuquerque, NM 87110-3113 2019-08-26
1336703156 Edwin Vargas Social Worker 2617 Juan Tabo Blvd Ne Ste D, Albuquerque, NM 87112-2967 2019-04-26
1134690886 Francisco Bussetti Social Worker 317 Panorama Pl Ne, Albuquerque, NM 87123-2128 2018-12-06
1962987925 Tania L Goldfeder Social Worker New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 2018-09-26
1841774122 Mona Ramlawi Social Worker 2900 Louisiana Blvd Ne Ste A2, Albuquerque, NM 87110-3550 2018-09-21
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Competitor

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City ALBUQUERQUE
Zip Code 87105

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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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