SHANTE WILLIS (NPI# 1720531379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720531379 |
| Entity Type | Individual |
| Full Name | SHANTE WILLIS |
| Practice Address |
4285 N Rancho Dr Las Vegas NV 89130-3446 |
| Mailing Address |
10100 Elida Rd Delphos OH 45833-9056 |
| Practice Telephone | 7023855331 |
| Mailing Telephone | 4196954010 |
| Mailing Fax Number | 4196954000 |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2019-09-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 8525-S | Behavioral Health & Social Service Providers | |
| N | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
4285 N RANCHO DR |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89130-3446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962595348 | Specialized Alternatives for Families and Youth of Nevada, Inc. | Clinic/Center | 4285 N Rancho Dr, Las Vegas, NV 89130-3446 | 2006-09-30 |
| 1578195160 | Belena Marquez | Rehabilitation Practitioner | 4285 N Rancho Dr, Las Vegas, NV 89130-3446 | 2020-02-11 |
| 1073145660 | Delano Varner | Rehabilitation Practitioner | 4285 N Rancho Dr, Las Vegas, NV 89130-3446 | 2020-02-11 |
| 1982242178 | Jeneviev Collinsworth | Rehabilitation Practitioner | 4285 N Rancho Dr, Las Vegas, NV 89130-3446 | 2019-12-18 |
| 1740828946 | Timothy Berg | Rehabilitation Practitioner | 4285 N Rancho Dr, Las Vegas, NV 89130-3446 | 2019-12-18 |
| 1194368837 | Stacey Stovall | Rehabilitation Practitioner | 4285 N Rancho Dr, Las Vegas, NV 89130-3446 | 2019-10-25 |
| 1396396537 | April Eldridge | Rehabilitation Practitioner | 4285 N Rancho Dr, Las Vegas, NV 89130-3446 | 2019-09-27 |
| 1568010270 | Tamika Thomas | Rehabilitation Practitioner | 4285 N Rancho Dr, Las Vegas, NV 89130-3446 | 2019-08-27 |
| 1255986485 | Lakeisha Watts | Rehabilitation Practitioner | 4285 N Rancho Dr, Las Vegas, NV 89130-3446 | 2019-08-05 |
| 1821643057 | James Davis | Rehabilitation Practitioner | 4285 N Rancho Dr, Las Vegas, NV 89130-3446 | 2019-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295374031 | Mindworks Behavioral Health & Medical Center | Clinic/Center | 7495 W. Azure Dr., Ste. 240, Las Vegas, NV 89130 | 2019-12-26 |
| 1669033833 | Doran Gaston | Behavioral Analyst | 3560 N Rancho Dr., Suite 109, Las Vegas, NV 89130 | 2019-06-27 |
| 1700447547 | Lakeisha Lloved | Behavioral Analyst | 3650 N Ranch Dr., Suite 109, Las Vegas, NV 89130 | 2019-06-24 |
| 1952962797 | Dana Lloved | Behavioral Analyst | 5650 N. Rancho Dr., 109, Las Vegas, NV 89130 | 2019-06-24 |
| 1316501596 | Positively Therapy | Counselor | 5071 N Rainbow Blvd #170, Las Vegas, NV 89130 | 2019-04-23 |
| 1427518356 | Rebecca Aragon | Behavioral Analyst | 5803 West Craig Road, Las Vegas, NV 89130 | 2019-03-25 |
| 1568929198 | Clear Choice Therapeutic Center, LLC | Community/Behavioral Health | 4079 North Rancho Drive, Suite 160, Las Vegas, NV 89130 | 2019-03-01 |
| 1699239095 | Jennifer Lee Kearns | Rehabilitation Practitioner | 3680 N Racho Drive, Las Vegas, NV 89130 | 2019-01-30 |
| 1730651852 | Sunrise Adult Day Care | Clinic/Center | 3930 Leon Ave #130, Las Vegas, NV 89130 | 2018-12-31 |
| 1376015685 | Sunrise Adult Day Care | Clinic/Center | 3930 Leon Ave Suite # 130, Las Vegas, NV 89130 | 2018-12-27 |
| Find all providers in zip 89130 | ||||
| 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 |
|---|---|---|---|---|
| 1245839216 | Arisha Miller | Social Worker | 3433 Algiers Dr Apt 1189, Las Vegas, NV 89115-2848 | 2020-10-21 |
| 1457960825 | Samantha Moore | Social Worker | 6543 Las Vegas Blvd S, Las Vegas, NV 89119-3223 | 2020-07-30 |
| 1740898493 | Donna Lynn Green | Social Worker | 10000 S Maryland Pkwy Apt 2098, Las Vegas, NV 89183-6392 | 2020-07-20 |
| 1033727193 | Whitney Janeen Davis | Social Worker | 2580 N Rancho Dr Ste 106, Las Vegas, NV 89130-3361 | 2020-07-15 |
| 1255958799 | Joseph Patrick Minnick Jr. | Social Worker | 1320 Red Gable Ln Unit 102, Las Vegas, NV 89144-7012 | 2020-07-01 |
| 1679196414 | Electronic Tax Center | Social Worker | 3450 Tanto Cir, Las Vegas, NV 89121-5047 | 2020-05-27 |
| 1750917548 | Derick Lewis Butler | Social Worker | 6236 Eugene Ave, Las Vegas, NV 89108-3311 | 2020-03-12 |
| 1629601026 | Mended | Social Worker | 6797 Conquistador St, Las Vegas, NV 89149-1315 | 2020-02-14 |
| 1518504745 | Maria Ann Speed | Social Worker | 6160 Rumrill St Unit 218, Las Vegas, NV 89113-7108 | 2019-12-06 |
| 1730734732 | Apollonia Sade Allen | Social Worker | 8610 S Maryland Pkwy Apt 1067, Las Vegas, NV 89123-2725 | 2019-08-06 |
| Find all providers in LAS VEGAS | ||||
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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.