MRS. SHELBY MARISA WHITTET WOOD (NPI# 1912268103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912268103 |
| Entity Type | Individual |
| Full Name | MRS. SHELBY MARISA WHITTET WOOD |
| Credential | MA |
| Practice Address |
85 Mechanic St Lebanon NH 03766-1537 |
| Practice Telephone | 6034485610 |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2020-04-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700362100 | Shelby Christine Wood | Physician Assistant | 1915 Randolph Rd, Charlotte, NC 28207-1101 | 2018-07-18 |
| 1912443623 | Shelby Wood | Physician Assistant | 7250 Clearvista Dr, Ste 355, Indianapolis, IN 46256-4692 | 2017-01-19 |
| 1447796180 | Shelby Wood | Developmental Therapist | 321 Fortune Blvd, Milford, MA 01757-1750 | 2017-01-18 |
| Street Address |
85 MECHANIC ST |
| City | LEBANON |
| State | NH |
| Zip Code | 03766-1537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386610509 | Gail Denise Fancher | Family Medicine | 85 Mechanic St, Attn: Credentials (cmc), Lebanon, NH 03766-1537 | 2006-02-27 |
| 1699381905 | Valerie Morse | Case Manager/Care Coordinator | 85 Mechanic St, Lebanon, NH 03766-1537 | 2020-09-22 |
| 1972115475 | Susan Davis | Marriage & Family Therapist | 85 Mechanic St, Lebanon, NH 03766-1537 | 2020-08-18 |
| 1033730767 | Erik Randall | Case Manager/Care Coordinator | 85 Mechanic St, Lebanon, NH 03766-1537 | 2020-05-05 |
| 1437793239 | Alicia Anne Connors | Counselor | 85 Mechanic St, Lebanon, NH 03766-1537 | 2019-11-05 |
| 1326606468 | Kristen Kozey | Counselor | 85 Mechanic St, Lebanon, NH 03766-1537 | 2019-06-04 |
| 1215409115 | Paul Alexander Shank | Case Manager/Care Coordinator | 85 Mechanic St, Lebanon, NH 03766-1537 | 2018-12-18 |
| 1225549710 | Aminah Evelyn Orogi | Case Manager/Care Coordinator | 85 Mechanic St, Lebanon, NH 03766-1537 | 2017-10-24 |
| 1134650591 | Ashleigh Downing | Case Manager/Care Coordinator | 85 Mechanic St, Lebanon, NH 03766-1537 | 2017-03-27 |
| 1003353962 | Denise Abrahamsen | Case Manager/Care Coordinator | 85 Mechanic St, Lebanon, NH 03766-1537 | 2017-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033580345 | Leah E Abrahamsen | Social Worker | 85 Mechanic Street Suite 3b-1, Dartmouth Hitchcock - Psychiatry, Lebanon, NH 03766 | 2015-10-13 |
| 1871982801 | Steps Opioid Addiction Treatment | Clinic/Center | 1 Glen Road, Suite 216, Lebanon, NH 03766 | 2015-01-14 |
| 1811282288 | Lisa Golden Morse | Occupational Therapist | 23 Mahon St, Lebanon, NH 03766 | 2011-06-14 |
| 1750607131 | Timothy Joseph Lin | Orthopaedic Surgery | 1 Medical Center Drive Orthopaedics, Lebanon, NH 03766 | 2010-04-11 |
| 1457673857 | Melanie A Baker | Dental Hygienist | One Court Street, Suite 270, Lebanon, NH 03766 | 2010-02-26 |
| 1568613073 | Peter Keith Isquith | Clinical Neuropsychologist | 367 Route 120 Unit B1, Hanover Road Professional Center, Lebanon, NH 03766 | 2008-10-02 |
| 1235317512 | Leslie Sudak | Speech-Language Pathologist | 10 Mascoma St, Lebanon, NH 03766 | 2008-02-08 |
| 1891973269 | Dc Whitfield | Nurse Practitioner | 20 W Park St Ste 418, Lebanon, NH 03766 | 2008-02-07 |
| 1588879951 | Charles R Meyers | Acupuncturist | 2 Whipple Place, Lebanon, NH 03766 | 2007-05-11 |
| 1285859686 | Thomas A Johnston | Dentist | 206 Heater Road, Lebanon, NH 03766 | 2007-04-13 |
| Find all providers in zip 03766 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972103497 | Josalyn Lawrence | Counselor | 550 S Main St Ste 105, Lebanon, OR 97355-3335 | 2020-10-26 |
| 1780204966 | Amanda Lynn Nowlin | Counselor | 4065 Hunters Point Pike, Lebanon, TN 37087-1192 | 2020-04-17 |
| 1255971065 | Mari Carter | Counselor | 217 E High St, Lebanon, TN 37087-6702 | 2020-01-09 |
| 1275182081 | Jane F Ilgenfritz | Counselor | 746 Cumberland St, Lebanon, PA 17042-5236 | 2019-09-05 |
| 1265086573 | Eric Stone | Counselor | 5234 Oh-63, Lebanon, OH 45036 | 2019-07-25 |
| 1407381528 | Kari Bump | Counselor | 320 E Silver St, Lebanon, OH 45036 | 2017-04-26 |
| 1861876104 | Claudia Jett | Counselor | 511 Coles Ferry Pike, Lebanon, TN 37087-2209 | 2015-07-16 |
| 1912305160 | Brian Bowden | Counselor | 5 Blacksmith St, Lebanon, NH 03766-1507 | 2014-12-19 |
| 1932511912 | Lauren F Ordner | Counselor | 1220 State Route 31 N, Suite 17, Lebanon, NJ 08833-3237 | 2014-05-27 |
| 1831439223 | Access Intensive Counseling LLC | Counselor | 705 East Main Street, Lebanon, VA 24266 | 2013-02-21 |
| Find all providers in LEBANON | ||||
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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.