MR. SHILOH LUNDAHL (NPI# 1891013777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891013777 |
| Entity Type | Individual |
| Full Name | MR. SHILOH LUNDAHL |
| Credential | LCSW |
| Practice Address |
6402 E Superstition Springs Blvd Suite 208 Mesa AZ 85206-4392 |
| Mailing Address |
3048 E Baseline Rd. Ste 108 Mesa AZ 85204 |
| Practice Telephone | 4806688301 |
| Practice Fax Number | 4805583020 |
| Mailing Telephone | 6024925055 |
| Mailing Fax Number | 4805583020 |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2015-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW-13355 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
6402 E SUPERSTITION SPRINGS BLVD SUITE 208 |
| City | MESA |
| State | AZ |
| Zip Code | 85206-4392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912976333 | Insight Health Corp | Physiological Laboratory | 6402 E Superstition Springs Blvd, Ste 106, Mesa, AZ 85206-4392 | 2006-03-16 |
| 1124363114 | Catherine Jean Newell | Marriage & Family Therapist | 6402 E Superstition Springs Blvd, Suite 208, Mesa, AZ 85206-4392 | 2012-12-03 |
| 1700178027 | Travis James Webb | Counselor | 6402 E Superstition Springs Blvd, Ste. 208, Mesa, AZ 85206-4392 | 2011-05-04 |
| 1568780674 | Garron Patrick Griffits | Counselor | 6402 E Superstition Springs Blvd, Suite 208, Mesa, AZ 85206-4392 | 2010-05-13 |
| 1467770578 | John Carthon Hinson | Counselor | 6402 E Superstition Springs Blvd, Suite 208, Mesa, AZ 85206-4392 | 2010-05-13 |
| 1437477536 | Kimberly Sue Buck | Counselor | 6402 E Superstition Springs Blvd, 208, Mesa, AZ 85206-4392 | 2010-05-13 |
| 1518285741 | Floyd Keith Godfrey | Counselor | 6402 E Superstition Springs Blvd, Suite 208, Mesa, AZ 85206-4392 | 2010-05-12 |
| 1417195868 | Walter David Bell | Physician Assistant | 6402 E Superstition Springs Blvd, Suite 118, Mesa, AZ 85206-4392 | 2009-01-22 |
| 1770739187 | Linda Kaye Tipton | Nurse Practitioner | 6402 E Superstition Springs Blvd, Suite 118, Mesa, AZ 85206-4392 | 2008-08-18 |
| 1861502791 | Native American Air Ambulance, Inc. | Ambulance | 6402 E Superstition Springs Blvd, Suite 224, Mesa, AZ 85206-4392 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
| Find all providers in zip 85206 | ||||
| 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 |
|---|---|---|---|---|
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1972142511 | Sonoran Sunrise Counseling, LLC | Social Worker | 6239 E Brown Rd Ste 112, Mesa, AZ 85205-4933 | 2019-12-30 |
| 1982248860 | Jennifer Franco-rodriguez | Social Worker | 1914 E Downing St, Mesa, AZ 85203-6627 | 2019-11-04 |
| 1659913655 | Kimberly Portugal | Social Worker | 10313 E Thornton Ave, Mesa, AZ 85212-8355 | 2019-10-10 |
| 1194374819 | Luminations Healing Center, LLC | Social Worker | 1237 S. Val Vista Dr. #221, Mesa, AZ 85204 | 2019-09-05 |
| 1144788563 | Ariel Koch | Social Worker | 11217 E Persimmon Ave, Mesa, AZ 85212-1905 | 2019-03-05 |
| 1609374529 | Gene R Lullo | Social Worker | 1830 S Alma School Rd Suite 101, Mesa, AZ 85210 | 2018-01-25 |
| 1265976625 | Susan M Macintyre | Social Worker | 739 W Portobello Ave, Mesa, AZ 85210-8345 | 2016-12-05 |
| 1568812378 | Rebecca Van Wagenen Bermudez | Social Worker | 7565 E Eagle Crest Dr, Suite 201 Top Floor, Mesa, AZ 85207-1041 | 2016-06-13 |
| 1891156121 | The Lotus Counseling Center LLC | Social Worker | 2222 S Dobson Rd Ste 300, Mesa, AZ 85202-6490 | 2016-03-14 |
| Find all providers in MESA | ||||
Please comment or provide details below to improve the information on MR. SHILOH LUNDAHL.
| 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.