SHANA LYNN GANGI (NPI# 1790163608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790163608 |
| Entity Type | Individual |
| Full Name | SHANA LYNN GANGI |
| Credential | LCSW |
| Practice Address |
13601 Preston Rd Ste W970 Dallas TX 75240 |
| Mailing Address |
1001 Nathan Ln Copperas Cove TX 76522-3191 |
| Practice Telephone | 9726777951 |
| Mailing Telephone | 2108521365 |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2018-07-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
64945 | TX | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
C009483 | NC | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 75 State St Fl 26, Boston, MA 021091827 | 6172043500 |
| Street Address |
13601 PRESTON RD STE W970 |
| City | DALLAS |
| State | TX |
| Zip Code | 75240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104469824 | Amber Christine Wrye | Counselor | 5433 Alpha Rd, Dallas, TX 75240 | 2019-10-25 |
| 1134610934 | Kristen Cairns | Counselor | 13140 Coit Rd # 328, Dallas, TX 75240 | 2018-05-29 |
| 1255821435 | Axiom Health Services, LLC | Specialist/Technologist, Other | 5422 Alpha Rd, Dallas, TX 75240 | 2018-05-14 |
| 1114438991 | Donald R Missel | Nurse Anesthetist, Certified Registered | 6606 Lbj Freeway, Suite 200, Dallas, TX 75240 | 2017-10-19 |
| 1689119307 | Ginger Lee Hagood | Counselor | 5580 Lbj Freeway, Suite 300, Dallas, TX 75240 | 2017-01-04 |
| 1831565712 | Stella I Clark | Nurse's Aide | 7373 Valley View Ln #2065, Dallas, TX 75240 | 2015-08-14 |
| 1134527096 | Jahvel Thompson | Physician Assistant | 8112 W. Spring Valley Rd., Dallas, TX 75240 | 2014-12-09 |
| 1295137396 | Rineil Francis Perez | Pharmacist | 13131 Monfort Dr, Dallas, TX 75240 | 2014-09-19 |
| 1255731311 | Arturo Ojeda | Counselor | 13140 Coit Rd Ste 326, Dallas, TX 75240 | 2014-08-26 |
| 1033549944 | Lee Kinsey | Counselor | 5580 Peterson Ln Ste 150, Dallas, TX 75240 | 2013-11-14 |
| Find all providers in zip 75240 | ||||
| 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 |
|---|---|---|---|---|
| 1528667185 | Jordan Elaine Halloran | Social Worker | 333 E Greenbriar Ln Apt 1226, Dallas, TX 75203-1115 | 2020-10-23 |
| 1821605650 | Wilma Davis - Reconnecting Families | Social Worker | 6310 Humoresque Dr, Dallas, TX 75241-2614 | 2020-09-25 |
| 1255947578 | Catherine Sang | Social Worker | 6322 Bryan Pkwy, Dallas, TX 75214-4307 | 2020-09-22 |
| 1922617166 | Pamela Mandt | Social Worker | 4312 Potomac Ave, Dallas, TX 75205-2629 | 2020-07-23 |
| 1437774601 | Soturi Counseling and Consulting, Pllc | Social Worker | 8500 N Stemmons Fwy Ste 1000, Dallas, TX 75247-3898 | 2020-06-12 |
| 1093338758 | Sophia Azhar | Social Worker | 2400 Bennett Ave Apt 2122, Dallas, TX 75206-7195 | 2020-05-28 |
| 1982225827 | Kirstin Elizabeth Brown | Social Worker | 9631 Baseline Dr, Dallas, TX 75243-4509 | 2020-05-01 |
| 1942836390 | Jenny Mary Esparza | Social Worker | 2043 Chevella Dr, Dallas, TX 75232-4159 | 2020-03-18 |
| 1790310175 | Alexis Nicole Sikes | Social Worker | 8215 Westchester Dr Ste 145, Dallas, TX 75225-6109 | 2020-03-06 |
| 1679107494 | Julia Clare Rossini | Social Worker | 10588 Stone Canyon Rd Apt 151, Dallas, TX 75230-4416 | 2020-03-02 |
| Find all providers in DALLAS | ||||
Please comment or provide details below to improve the information on SHANA LYNN GANGI.
| 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.