SHANNON MOORE (NPI# 1750758322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750758322 |
| Entity Type | Individual |
| Full Name | SHANNON MOORE |
| Practice Address |
42 Diauto Dr Randolph MA 02368-4510 |
| Practice Telephone | 7818857252 |
| Enumeration Date | 2015-08-30 |
| Last Update Date | 2015-08-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
582733473 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043825565 | Shannon Roberta Moore | In Home Supportive Care | 5686 Broadview Rd Apt 2520, Parma, OH 44134-1647 | 2020-09-11 |
| 1033764055 | Shannon Moore | Physical Therapist | 235 Open Sky Way, Kila, MT 59920-7700 | 2019-08-06 |
| 1770006660 | Shannon Moore | Optometrist | 340 Wood Rd Ste 2020, Braintree, MA 02184-2404 | 2017-07-21 |
| 1316327851 | Shannon Moore | Technician, Other | 24837 Princeton St, Dearborn, MI 48124-4457 | 2015-05-30 |
| 1659713071 | Shannon Lori Moore | Dietitian, Registered | 1114 Thomasville Rd Ste G, Tallahassee, FL 32303-6273 | 2013-07-26 |
| 1326388893 | Shannon Michelle Moore | Developmental Therapist | 340 Ralley Rd, Keavy, KY 40737-2729 | 2013-02-21 |
| 1639414345 | Shannon L Moore | Licensed Practical Nurse | 1235 3rd Street, Sedro-woolley, WA 98284 | 2012-12-06 |
| 1669767208 | Shannon M Moore | Pharmacist | 80 Baker St, Richmond, VT 05477-7750 | 2011-06-11 |
| 1154636611 | Shannon Monique Moore | Psychologist | 1675 Lakeland Dr Ste 304, Jackson, MS 39216 | 2010-08-09 |
| 1689630246 | Shannon Jessica Moore | Optometrist | 528 Waterloo Rd, Warrenton, VA 20186-3011 | 2006-04-24 |
| Street Address |
42 DIAUTO DR |
| City | RANDOLPH |
| State | MA |
| Zip Code | 02368-4510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972562288 | Integrative Chiropractic and Rehabilitation, P. C. | Chiropractor | 42 Diauto Dr, Randolph, MA 02368-4510 | 2006-03-23 |
| 1447863188 | Nadine Thompson | Social Worker | 42 Diauto Dr, Randolph, MA 02368-4510 | 2020-08-24 |
| 1912475187 | Vanessa C. Enriquez | Social Worker | 42 Diauto Dr, Randolph, MA 02368-4510 | 2018-11-06 |
| 1477939270 | Matthew Bennett Easley | Counselor | 42 Diauto Dr, Randolph, MA 02368-4510 | 2015-08-04 |
| 1487072039 | Marissa Giel | Case Manager/Care Coordinator | 42 Diauto Dr, Randolph, MA 02368-4510 | 2014-04-01 |
| 1083975841 | Guerda Victor | Counselor | 42 Diauto Dr, Randolph, MA 02368-4510 | 2012-06-07 |
| 1730446337 | Antonio Arrendel | Counselor | 42 Diauto Dr, Randolph, MA 02368-4510 | 2012-04-19 |
| 1659648723 | James Milton Henry Jr. | Counselor | 42 Diauto Dr, Randolph, MA 02368-4510 | 2011-11-17 |
| 1891096160 | Lamour Community Health Institute, Inc | Clinic/Center | 42 Diauto Dr, Randolph, MA 02368-4510 | 2010-11-03 |
| 1154644839 | Integrative Chiropractic Services, PC | Chiropractor | 42 Diauto Dr, Randolph, MA 02368-4510 | 2010-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962016444 | Kadiatou Djindji Bah | Behavior Technician | 75 N Main St Suite 628, Randolph, MA 02368 | 2020-09-02 |
| 1194334490 | Madison Murphy | Behavior Technician | 75 North Main Street, Ma, Suite #628, Randolph, MA 02368 | 2020-07-23 |
| 1255995049 | Daniel Joseph Bellistri | Social Worker | Daniel Bellistri, 70 Memorial Pkwy., Randolph, MA 02368 | 2019-04-26 |
| 1992291124 | Ashley Lauren Davis | Licensed Practical Nurse | 11 Mcdonnell Drive, Randolph, MA 02368 | 2018-07-11 |
| 1023503943 | Jean Rony Mesalon | Licensed Practical Nurse | 8 Reynolds Ave, Randolph, MA 02368 | 2018-06-22 |
| 1154829208 | Tatianna Lovette Hendren | Behavioral Analyst | 28 Liberty Place, Apartment C, Randolph, MA 02368 | 2018-01-24 |
| 1841709698 | Gerica Barbosa | Counselor | 37 Sarah St, Randolph, MA 02368 | 2017-09-25 |
| 1437508629 | Julie A Panchamsingh-barakat | Social Worker | 400-, 402 N Main St, Randolph, MA 02368 | 2016-06-08 |
| 1497109789 | Grace Dorcas Pokuah | Counselor | 24 Nelson Dr, #1a, Randolph, MA 02368 | 2016-04-22 |
| 1194185868 | Heavenly Home Care | Home Health | 9 William Morrison Drive, Randolph, MA 02368 | 2016-02-24 |
| Find all providers in zip 02368 | ||||
| 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 |
|---|---|---|---|---|
| 1154932879 | Pcs Tele-behavioral Health Services LLC | Social Worker | 7 Van Tassel Dr, Randolph, MA 02368-2819 | 2020-08-14 |
| 1932761632 | Carly H Herschman | Social Worker | 2 W Hanover Ave Ste 203, Randolph, NJ 07869-4222 | 2019-07-02 |
| 1255995049 | Daniel Joseph Bellistri | Social Worker | Daniel Bellistri, 70 Memorial Pkwy., Randolph, MA 02368 | 2019-04-26 |
| 1073079943 | Elaine M. Gatewood | Social Worker | 1201 Irving Rd, Randolph, MA 02368-1800 | 2019-02-15 |
| 1780150102 | Rita Bouchedid | Social Worker | 46 Center Grove Rd Apt U102, Randolph, NJ 07869-4439 | 2018-10-24 |
| 1841775376 | Vivian Soper | Social Worker | 34 Sarah St, Randolph, MA 02368-1908 | 2018-10-01 |
| 1023592375 | Carolyn Ruth Sheppard | Social Worker | 35 Mcdevitt Rd, Randolph, MA 02368-3850 | 2018-09-23 |
| 1346722832 | Peter Angelos | Social Worker | 33 Fitch Ter, Randolph, MA 02368-5121 | 2018-08-31 |
| 1184103830 | Anthony Bosco | Social Worker | 123 Reed St, Randolph, MA 02368-1621 | 2018-08-13 |
| 1326554064 | Misty Pisani | Social Worker | 47 Collins Ave, Randolph, MA 02368-2003 | 2017-12-18 |
| Find all providers in RANDOLPH | ||||
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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.