SHANNON HOPE ELLIS (NPI# 1710322805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710322805 |
| Entity Type | Individual |
| Full Name | SHANNON HOPE ELLIS |
| Practice Address |
2140 E Ellsworth Rd Ann Arbor MI 48108-2552 |
| Mailing Address |
555 Towner St Po Box 915 Ypsilanti MI 48198-5752 |
| Practice Telephone | 7342229501 |
| Practice Fax Number | 7349712487 |
| Mailing Telephone | 7345443000 |
| Mailing Fax Number | 7345446732 |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2013-05-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801093416 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989356 | Shannon Rose Ellis | Nurse Practitioner | 1460 Fairway Oaks Dr, Casselberry, FL 32707-5140 | 2020-10-15 |
| 1487165858 | Shannon Noel Ellis | Counselor | 48 Private Drive 339, South Point, OH 45680-8919 | 2017-10-12 |
| 1295706166 | Shannon Bolling Ellis | Preventive Medicine | 2600 Hwy 301s, Jesup, GA 31599-5641 | 2006-01-30 |
| 1841848678 | Shannon M Ellis | Physician Assistant | 125 Fox Hollow Rd Ste 210, Pinehurst, NC 28374-8593 | 2019-08-26 |
| 1033606116 | Shannon Ellis | Behavior Technician | 515 Palm Coast Pkwy Sw, Palm Coast, FL 32137-4739 | 2018-04-15 |
| 1710359849 | Shannon Ellis | Nurse Practitioner | 2235 Lake Heights Dr, Everett, WA 98208-6030 | 2015-10-28 |
| 1568867430 | Shannon M Ellis | Physical Therapy Assistant | 5775 Old Winder Hwy, Braselton, GA 30517-1603 | 2014-11-04 |
| 1245644632 | Shannon Ellis | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2014-06-13 |
| 1124219563 | Shannon Scott Ellis | Family Medicine | 26 W Jackson Commons Dr, Hoschton, GA 30548-1897 | 2007-08-08 |
| 1740483734 | Shannon B Ellis | Obstetrics & Gynecology | 800 Saint Vincents Dr, Suite 500, North Tower, Birmingham, AL 35205-1620 | 2007-06-07 |
| Street Address |
2140 E ELLSWORTH RD |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48108-2552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033172242 | Ellen Smith Perricci | Psychiatry & Neurology | 2140 E Ellsworth Rd, Ann Arbor, MI 48108-2552 | 2006-04-10 |
| 1063012359 | Ashley Hagerman | Social Worker | 2140 E Ellsworth Rd, Ann Arbor, MI 48108-2552 | 2020-10-27 |
| 1528624483 | Janet Rich | Social Worker | 2140 E Ellsworth Rd, Ann Arbor, MI 48108-2552 | 2019-05-16 |
| 1649732355 | John Cherette | Social Worker | 2140 E Ellsworth Rd, Ann Arbor, MI 48108-2552 | 2019-04-02 |
| 1396206736 | Kelsey Marie Robinson | Social Worker | 2140 E Ellsworth Rd, Ann Arbor, MI 48108-2552 | 2019-03-28 |
| 1588145528 | Gina K Steffey | Social Worker | 2140 E Ellsworth Rd, Ann Arbor, MI 48108-2552 | 2018-08-28 |
| 1730673005 | Robin Sanderson | Social Worker | 2140 E Ellsworth Rd, Ann Arbor, MI 48108-2552 | 2018-06-19 |
| 1861983942 | Jing Zhang | Counselor | 2140 E Ellsworth Rd, Ann Arbor, MI 48108-2552 | 2018-05-23 |
| 1215426218 | Ashley Marie Holsten-o'bryan | Registered Nurse | 2140 E Ellsworth Rd, Ann Arbor, MI 48108-2552 | 2018-05-04 |
| 1427547843 | Laura Ganzel | Social Worker | 2140 E Ellsworth Rd, Ann Arbor, MI 48108-2552 | 2018-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750999249 | Creating Brighter Futures | Behavioral Analyst | 4201 Varsity Drive, Ste. C, Ann Arbor, MI 48108 | 2020-07-21 |
| 1326506320 | Michelle Bishop | Behavior Technician | 4935 Birch Hollow Dr, Ann Arbor, MI 48108 | 2019-03-08 |
| 1407326077 | Alexis Ewald | Behavior Technician | 2770 Carpenter Rd., Ann Arbor, MI 48108 | 2018-11-27 |
| 1003308511 | Ann Arbor Dental Specialists | Dentist | 3100 Eisenhower Parkway, Suite 200, Ann Arbor, MI 48108 | 2018-05-31 |
| 1144719295 | Jonathan Parker Etter | Physical Medicine & Rehabilitation | 325 E. Eisenhower, Suite 300, Spc 5744, Ann Arbor, MI 48108 | 2018-05-04 |
| 1427555895 | Blossom Health Services LLC | Social Worker | 2156 Glencoe Hills Dr Apt 12, Ann Arbor, MI 48108 | 2018-04-11 |
| 1669974580 | Camron Anthony Moorehead | Occupational Therapist | 400 E. Eisenhower Parkway Bldg 2, Ste A, Ann Arbor, MI 48108 | 2018-03-07 |
| 1396247862 | Crystal Ann D'agostino | Health Educator | 1169 Oak Valley Drive, Ann Arbor, MI 48108 | 2018-03-01 |
| 1538671250 | Miea Moon | Psychologist | 3200 E Eisenhower Parkway, Moriah Hall, Ann Arbor, MI 48108 | 2017-11-03 |
| 1003355546 | Rachael Connolly | Behavior Technician | 4201 Varsity Drive Suite C, Ann Arbor, MI 48108 | 2017-02-16 |
| Find all providers in zip 48108 | ||||
| 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 |
|---|---|---|---|---|
| 1568062107 | Noor Mateen | Social Worker | 2564 Carpenter Rd, Ann Arbor, MI 48108-1175 | 2020-10-30 |
| 1295342970 | Yan Luo | Social Worker | 536 S Forest Ave Apt 1614, Ann Arbor, MI 48104-2553 | 2020-09-28 |
| 1245845098 | Matthew Cremin | Social Worker | 5340 Plymouth Rd Ste 104, Ann Arbor, MI 48105-9557 | 2020-09-09 |
| 1528678943 | Joyce Y Lee | Social Worker | 2245 S State St Ste 1200, Ann Arbor, MI 48104-6279 | 2020-08-01 |
| 1649888900 | Ian Reed Twiss | Social Worker | 2015 Geddes Ave, Ann Arbor, MI 48104-1715 | 2020-07-22 |
| 1114545308 | Sarah Weissman | Social Worker | 1817 W Stadium Blvd Ste C, Ann Arbor, MI 48103-4577 | 2020-07-14 |
| 1710504618 | Cjcasselman Lmsw LLC | Social Worker | 2311 Shelby Ave Ste 105, Ann Arbor, MI 48103-3849 | 2020-06-26 |
| 1295351807 | Transitions Linda S Bender Lmsw Acsw | Social Worker | 4488 Jackson Rd Ste 4, Ann Arbor, MI 48103-1812 | 2020-06-19 |
| 1326661109 | Naomi Rawitz | Social Worker | 120 E Liberty St Ste 370, Ann Arbor, MI 48104-2130 | 2020-05-27 |
| 1164042917 | Sue Pellerito LLC | Social Worker | 2311 Shelby Ave Ste 105a, Ann Arbor, MI 48103-3849 | 2020-04-22 |
| Find all providers in ANN ARBOR | ||||
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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.