SUJEONG SHIN (NPI# 1780163493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780163493 |
| Entity Type | Individual |
| Full Name | SUJEONG SHIN |
| Credential | LICSW |
| Practice Address |
2013 Elm St Manchester NH 03104-2528 |
| Mailing Address |
113 High St Exeter NH 03833-2927 |
| Practice Telephone | 6036272702 |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2018-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
2142 | NH | Behavioral Health & Social Service Providers |
| Street Address |
2013 ELM ST |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03104-2528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851350268 | Carol Knieriem | Social Worker | 2013 Elm St, Pastoral Counseling Services, Manchester, NH 03104-2528 | 2006-03-23 |
| 1508405515 | Kenneth Robertson | Counselor | 2013 Elm St, Manchester, NH 03104-2528 | 2019-12-23 |
| 1235618703 | Melissa Marie Grudinski | Counselor | 2013 Elm St, Manchester, NH 03104-2528 | 2018-08-07 |
| 1225221120 | Lisa E Gold | Counselor | 2013 Elm St, Manchester, NH 03104-2528 | 2007-08-23 |
| 1811029978 | Dianne Terese Philion | Social Worker | 2013 Elm St, Manning House, Manchester, NH 03104-2528 | 2007-03-12 |
| 1760524193 | Mary J Yost | Counselor | 2013 Elm St, Manchester, NH 03104-2528 | 2007-02-13 |
| 1851469068 | David B. Reynolds | Counselor | 2013 Elm St, Manning House, Manchester, NH 03104-2528 | 2006-12-04 |
| 1205904703 | Stephanie Kate Williston | Psychologist | 2013 Elm St, Pastoral Counseling Services, Manchester, NH 03104-2528 | 2006-12-01 |
| 1477636546 | Emily Bernice Geoghegan | Psychologist | 2013 Elm St, Manchester, NH 03104-2528 | 2006-10-23 |
| 1780773879 | Mary Elizabeth Koon | Counselor | 2013 Elm St, Pastoral Counseling Services, Manchester, NH 03104 | 2006-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730675562 | Hannah E Boutselis | Nurse Practitioner | 1750 Elm St., Suite 201a, Manchester, NH 03104 | 2018-07-04 |
| 1366948770 | Families In Transition | Counselor | 15 Brook St, Manchester, NH 03104 | 2018-04-04 |
| 1528586872 | Nicole Mitchell | Physical Therapy Assistant | 235 Myrtle St., Manchester, NH 03104 | 2017-09-07 |
| 1851819270 | Community House Calls LLC | Contractor | 497 Hooksett Road, 232, Manchester, NH 03104 | 2017-09-06 |
| 1407207533 | Brianna Cassidy | Specialist/Technologist | 62 Jonathan Ln, Manchester, NH 03104 | 2016-06-30 |
| 1477926871 | Anthony Macri | Skilled Nursing Facility | 524 Blevens Dr., Manchester, NH 03104 | 2015-11-06 |
| 1225412935 | Families In Transition | Counselor | 136 Lowell St, Manchester, NH 03104 | 2015-07-13 |
| 1386036622 | Phoenix Rising Counseling Services, LLC | Counselor | 114 Bay Street, Suite A, Manchester, NH 03104 | 2015-02-24 |
| 1366795767 | Alicia M. Kleczkowski | Nurse Practitioner | 57 Webster St., Manchester, NH 03104 | 2012-10-23 |
| 1356615710 | Laurie Lagasse | Physical Therapy Assistant | 44 West Webster St, Manchester, NH 03104 | 2012-03-02 |
| Find all providers in zip 03104 | ||||
| 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 |
|---|---|---|---|---|
| 1730799099 | T.r.u.e. Self Counseling | Social Worker | 642 Hilliard St Ste 1310, Manchester, CT 06042-2700 | 2020-08-03 |
| 1992328710 | Cheryl Kinney | Social Worker | 623 Meramec Station Rd, Manchester, MO 63021-5550 | 2020-05-27 |
| 1649818857 | Amanda Duenas | Social Worker | 26 Hamlin St, Manchester, CT 06040-5319 | 2019-12-18 |
| 1386288009 | Monica Diaz | Social Worker | 117 East Center Street, Suite A1, Manchester, CT 06040 | 2019-11-06 |
| 1700344165 | Morgan Moller | Social Worker | 200 W Center St Ste C-2-6, Manchester, CT 06040-4864 | 2019-03-05 |
| 1336615103 | Sarah Canning Howroyd | Social Worker | 341 Bidwell St, Manchester, CT 06040-6470 | 2018-10-19 |
| 1023583374 | Melissa K Bascom | Social Worker | C/o Care Coordination Department, 1 Elliot Way, Manchester, NH 03103 | 2018-10-12 |
| 1497239016 | Erin Macdonald Lajeunesse | Social Worker | 182 Kearsarge St, Manchester, NH 03102-3402 | 2018-09-19 |
| 1316420987 | Filomena Dasilva-clark | Social Worker | 284 N Bay St, Manchester, NH 03104-2324 | 2018-09-10 |
| 1386127009 | Susannah Blass Dipasquale | Social Worker | 2 Pinewood Rd, Manchester, MA 01944-1036 | 2018-09-09 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 03104 |
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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.