LATASHA SHANNON (NPI# 1669754271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669754271 |
| Entity Type | Individual |
| Full Name | LATASHA SHANNON |
| Credential | LMSW, CAADC |
| Practice Address |
447 Forest Ave Ste 1 Plymouth MI 48170-1721 |
| Practice Telephone | 7346353499 |
| Mailing Telephone | 7346353499 |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2020-03-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
C-02511 | MI | Behavioral Health & Social Service Providers |
| Y | 104100000X | Social Worker | 6801089411 | MI | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
6801089411 | MI | Behavioral Health & Social Service Providers |
| Street Address |
447 FOREST AVE STE 1 |
| City | PLYMOUTH |
| State | MI |
| Zip Code | 48170-1721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720611734 | Brightside Medical of Michigan, P.C. | Psychiatry & Neurology | Telemedicine Services Only / No Physical Office, Telemedicine Services Only / No Physical, MI 48170 | 2020-02-18 |
| 1265075279 | Mast Enterprises | Home Health | 40800 Five Mile Rd Ste C, Plymouth, MI 48170 | 2019-10-22 |
| 1003470964 | Smiley Private Homecare LLC | Technician, Pathology | 1098 Ann Arbor Rd #249, Plymouth, MI 48170 | 2019-04-26 |
| 1275003832 | Atsalis Dental Excellence | Dentist | 690 South Main St, Plymouth, MI 48170 | 2018-11-27 |
| 1275003808 | Danielle Cefalo | Speech-Language Pathologist | 801 W. Ann Arbor Trail Suite 220, Plymouth, MI 48170 | 2018-11-27 |
| 1962987966 | Mindful Wellness Counseling, LLC | Social Worker | 9266 Northern Ave, Plymouth, MI 48170 | 2018-09-26 |
| 1972094027 | Plymouth Urgent Care Walk-in Clinic LLC | Clinic/Center | 1498 S Sheldon Rd, Plymouth, MI 48170 | 2018-05-24 |
| 1356843791 | Polaris Pharmacy Services of Michigan, LLC | Pharmacy | 9131 General Court, Plymouth, MI 48170 | 2018-03-01 |
| 1528569787 | Alcona Citizens for Health Inc | Clinic/Center | 101 S Union St Unit 101, Plymouth, MI 48170 | 2018-02-23 |
| 1073029484 | Holly Ann Haase | Technician/Technologist | 650 Church St, Plymouth, MI 48170 | 2017-12-20 |
| Find all providers in zip 48170 | ||||
| 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 |
|---|---|---|---|---|
| 1376169953 | Arnisha Michelle Jones | Social Worker | 496 W Ann Arbor Trl Ste 202, Plymouth, MI 48170-6262 | 2020-06-19 |
| 1902437619 | Sheila Elaine Valday | Social Worker | 2 River Birch Way, Plymouth, MA 02360-6703 | 2020-01-31 |
| 1861969461 | Janis Mcglone. | Social Worker | 41154 Ivywood Ln, Plymouth, MI 48170-2629 | 2018-11-01 |
| 1457826075 | Anne Williamson Counseling Pllc | Social Worker | 409 Plymouth Rd Ste 190, Plymouth, MI 48170-1493 | 2018-10-10 |
| 1962987966 | Mindful Wellness Counseling, LLC | Social Worker | 9266 Northern Ave, Plymouth, MI 48170 | 2018-09-26 |
| 1366924722 | Richard J Bond Jr. | Social Worker | 34 Hatherly Rise, Plymouth, MA 02360-3598 | 2018-09-02 |
| 1962998302 | Jenna Ruth Jaworowicz | Social Worker | 575 S Main St Ste 8, Plymouth, MI 48170-1778 | 2018-07-09 |
| 1457844052 | Gail Marie Parker | Social Worker | 72 Boatwrights Loop, Plymouth, MA 02360-6637 | 2018-06-08 |
| 1073060307 | John Bibler IIi | Social Worker | 2 Braunecker Rd, Plymouth, MA 02360-4503 | 2016-09-02 |
| 1144673203 | Jennifer Whiting | Social Worker | 19 Savin Rd, Plymouth, MA 02360-1528 | 2016-07-13 |
| Find all providers in PLYMOUTH | ||||
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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.