SHANA WALLACE


Address: 150 South Ave # 2, Lewiston, ME 04240-5759
Phone: 9143306563

SHANA WALLACE (NPI# 1922665173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922665173
Entity Type Individual
Full Name SHANA WALLACE
Practice Address 150 South Ave # 2
Lewiston
ME 04240-5759
Mailing Address 68b Prince St
Northampton
MA 01060-3635
Practice Telephone 9143306563
Mailing Telephone 9143306563
Enumeration Date 2019-05-23
Last Update Date 2020-08-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
Behavioral Health & Social Service Providers

Other Providers SHANA WALLACE

NPI Name Taxonomy Address Enumeration
1013040666 Shana Dale Wallace Pediatrics 1900 Randolph Rd, Suite 1010, Charlotte, NC 28207-1122 2007-03-13

Office Location

Street Address 150 SOUTH AVE # 2
City LEWISTON
State ME
Zip Code 04240-5759

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538773882 Hannah Page Guerrette Speech-Language Pathologist 2 Strawberry Ave, Lewiston, ME 04240 2020-09-03
1497392500 Samuel C Larouche Social Worker 100 Campus Ave Stes A&b, Lewiston, ME 04240 2019-12-09
1972145019 Pomarand Behavioral Services Nurse Practitioner 217 Main St., Suite 201, Lewiston, ME 04240 2019-10-10
1396248258 William Bucklin Counselor 17 Main St Fl 2, Lewiston, ME 04240 2018-03-16
1548769524 Kevin Ryan Physician Assistant 12 High Street Suite 102, Lewiston, ME 04240 2018-02-06
1033637673 Wellness Center Clinic/Center 37 Park Street, Suite 305, Lewiston, ME 04240 2017-09-04
1710404561 Colasante Chiropractic, LLC Clinic/Center 184 Webster Street, #100, Lewiston, ME 04240 2017-08-23
1609398544 Lindsey Laforge Occupational Therapist 984 1/2 Sabattus Street, Lewiston, ME 04240 2017-07-12
1861922478 Seth Toothaker Counselor 1190 Lisbon Street, Lewiston, ME 04240 2017-06-15
1861850828 Black Bear Support Services, LLC Community/Behavioral Health 571 Sabattus Street, Suite 15, Lewiston, ME 04240 2016-02-05
Find all providers in zip 04240

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215550108 Jasmine Dawn Hussey Social Worker 17 Cram Ave Apt 3, Lewiston, ME 04240-3750 2020-05-26
1124650106 Summer Overberg Social Worker 908 Idaho St, Lewiston, ID 83501-1937 2020-02-07
1407336746 Kelsey Wilcox Social Worker 37 Park St Ste 203, Lewiston, ME 04240-7195 2018-08-16
1003301680 Serenity Treatment LLC Social Worker 1229 Main St Ste 101, Lewiston, ID 83501-6901 2018-06-26
1053830299 Rebecca Baker Social Worker 37 Park St Ste 201, Lewiston, ME 04240-7196 2017-09-19
1043660343 Heath B Walters Social Worker 504 Main St Ste 470, Lewiston, ID 83501-1806 2016-06-16
1700253614 Eric Stephen Esty Social Worker 35 Westminster St, Lewiston, ME 04240-3531 2015-08-26
1205213857 Brandon Mcintosh Social Worker 523 1/2 Main St Ste 7, Lewiston, ID 83501-1870 2015-05-04
1285026229 Lauren Nichols Social Worker 1310 9th Ave, Lewiston, ID 83501-3104 2015-02-27
1306242490 Elizabeth Richards Social Worker 100 Campus Ave Ste Aandb, Lewiston, ME 04240-6040 2014-11-17
Find all providers in LEWISTON

Competitor

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City LEWISTON
Zip Code 04240

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Dataset Information

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.

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