SHAWNTEAL NICOLE PERNELL (NPI# 1861857799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861857799 |
| Entity Type | Individual |
| Full Name | SHAWNTEAL NICOLE PERNELL |
| Credential | LMSW |
| Practice Address |
1 Parklane Blvd Suite 1210e Dearborn MI 48126-2400 |
| Mailing Address |
20529 Charlton Sq 201 Southfield MI 48076-4061 |
| Practice Telephone | 3132838661 |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2018-10-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 6801090355 | MI | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
6801090355 | MI | Behavioral Health & Social Service Providers |
| Street Address |
1 PARKLANE BLVD SUITE 1210E |
| City | DEARBORN |
| State | MI |
| Zip Code | 48126-2400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952637126 | Melissa Marie Farrell | Psychologist | 1 Parklane Blvd, Dearborn, MI 48126 | 2009-10-23 |
| 1245634559 | Artraneen Gardner | Counselor | 1 Parklane Blvd, Dearborn, MI 48126-2400 | 2014-10-15 |
| 1396155628 | Ashley Weiland | Psychologist | 1 Parklane Blvd, Dearborn, MI 48126-2400 | 2014-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323303 | Aq Dental Group Pllc | Clinic/Center | 10413 Ford Road, Units M & N, Dearborn, MI 48126 | 2020-10-12 |
| 1275148165 | Anasthesia Pain Service PC | Clinic/Center | 15350 Michigan Ave, Dearborn, MI 48126 | 2020-09-09 |
| 1417501958 | Ximena Noemi Ortega | Behavior Technician | 6241 Miller Rd, Dearborn, MI 48126 | 2019-08-01 |
| 1912478827 | Abar Alghazali | Behavior Technician | 4641 Lois, Dearborn, MI 48126 | 2018-12-17 |
| 1861972457 | Laboratory Specialists of Michigan, LLC | Clinical Medical Laboratory | 13530 Michigan Ave Ste 240, Dearborn, MI 48126 | 2018-08-14 |
| 1528544806 | Farah Osman | Pharmacist | 14715 Ford Rd, Dearborn, MI 48126 | 2018-07-19 |
| 1255821328 | Loyal Pharmacy LLC | Pharmacy | 7118 Greenfield Rd St(b), Dearborn, MI 48126 | 2018-05-15 |
| 1952803900 | Neetika Kesar | Physical Therapist | 15051, Ford Road, Dearborn, MI 48126 | 2018-03-06 |
| 1396247607 | David Jerome Kurcz | Physical Therapy Assistant | 15051 Ford Road, Henry Ford Village, Dearborn, MI 48126 | 2018-03-02 |
| 1043732506 | Shadiya Ahmed | Dentist | 4700 Schaefer Rd Ste 190, Dearborn, MI 48126 | 2017-07-16 |
| Find all providers in zip 48126 | ||||
| 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 |
|---|---|---|---|---|
| 1902380181 | Greta Elizabeth Kaempf | Social Worker | 835 Mason St Ste A135, Dearborn, MI 48124-2231 | 2018-09-24 |
| 1518483759 | Nichole Louise Garcia | Social Worker | 18215 Audette St, Dearborn, MI 48124-4218 | 2017-08-18 |
| 1003350273 | Candace Pendergraft | Social Worker | 6801 Mead St, Dearborn, MI 48126-1736 | 2016-12-07 |
| 1295197572 | Candice Marie Cooper | Social Worker | 23810 Michigan Ave Ste 202b, Dearborn, MI 48124-1830 | 2016-03-24 |
| 1417323957 | Stephanie Manard | Social Worker | 15200 Mercantile Dr, Dearborn, MI 48120-1207 | 2015-08-19 |
| 1649655838 | Jeffrey Leonard Bachynski | Social Worker | 15200 Mercantile, Dearborn, MI 48120 | 2015-07-29 |
| 1700263811 | Henry Zawu | Social Worker | 15569 Knollwood Dr, Dearborn, MI 48120-1353 | 2015-04-28 |
| 1447669650 | Rola Harajli | Social Worker | 6451 Schaefer Street, Dearborn, MI 48126 | 2014-08-13 |
| 1811314123 | Suzana Apostolovski | Social Worker | 19025 Audette St, Dearborn, MI 48124-4275 | 2014-03-25 |
| 1578902920 | Kwesi O Mcgill | Social Worker | 25 Brookline Ln, Dearborn, MI 48120-1037 | 2013-06-19 |
| Find all providers in DEARBORN | ||||
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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.