MR. JOHN E SHAFER (NPI# 1942397682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942397682 |
| Entity Type | Individual |
| Full Name | MR. JOHN E SHAFER |
| Credential | LCSW |
| Practice Address |
31 Thurber Dr Waterloo NY 13165-1600 |
| Practice Telephone | 3155391980 |
| Practice Fax Number | 3155391054 |
| Mailing Telephone | 3155391980 |
| Mailing Fax Number | 3155391054 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
071443 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114241585 | John Shafer | Psychologist | 1660 Fort St, Trenton, MI 48183 | 2010-03-15 |
| 1437152956 | John C Shafer | Dentist | 1100 Pacific Coast Hwy, Ste C, Hermosa Beach, CA 90254-3951 | 2005-05-30 |
| 1811287246 | John Daniel Shafer Jr. | Audiologist-Hearing Aid Fitter | 400 N Loop 1604 E, Suite 210, San Antonio, TX 78232-1258 | 2011-04-19 |
| 1669548228 | John F Shafer | Marriage & Family Therapist | 499 Loma Alta Ave, Los Gatos, CA 95030-6227 | 2006-11-27 |
| Street Address |
31 THURBER DR |
| City | WATERLOO |
| State | NY |
| Zip Code | 13165-1600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295799070 | Seneca County Addictions Program | Clinic/Center | 31 Thurber Dr, Waterloo, NY 13165-1600 | 2006-04-17 |
| 1184242539 | Meghan Mccormack | Social Worker | 31 Thurber Dr, Waterloo, NY 13165-1665 | 2020-07-13 |
| 1023641008 | Eugene Storey Jr. | Peer Specialist | 31 Thurber Dr, Waterloo, NY 13165-1665 | 2020-02-18 |
| 1477193522 | Kimberly Ann Zajac | Counselor | 31 Thurber Dr, Waterloo, NY 13165-1665 | 2020-01-07 |
| 1306482054 | Megan Manaco | Social Worker | 31 Thurber Dr, Waterloo, NY 13165-1665 | 2019-11-18 |
| 1164071882 | Amanda Marie Johnston-porter | Peer Specialist | 31 Thurber Dr, Waterloo, NY 13165-1665 | 2019-09-05 |
| 1174182182 | Roberta Yvonne Lindner-ciopyk | Occupational Therapist | 31 Thurber Dr, Waterloo, NY 13165-1665 | 2019-06-12 |
| 1053970525 | Cynthia Eileen Meckley | Registered Nurse | 31 Thurber Dr, Waterloo, NY 13165-1665 | 2019-06-10 |
| 1508328394 | Lynn Mary Rotz | Peer Specialist | 31 Thurber Dr, Waterloo, NY 13165-1665 | 2019-04-02 |
| 1083178214 | Robert Shields | Peer Specialist | 31 Thurber Dr, Waterloo, NY 13165-1665 | 2019-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497284848 | Mary Reese | Registered Nurse | 31 Thurber Drive, Waterloo, NY 13165 | 2017-06-08 |
| 1841738788 | Kristina Marie Metz | Counselor | 31 Thurber Dr., Waterloo, NY 13165 | 2017-02-10 |
| 1902273675 | Elisabeth Rouse | Licensed Practical Nurse | 21 Oak St Apt A., Waterloo, NY 13165 | 2015-08-28 |
| 1164773735 | Stephen Frederick Hartman | Dentist | 107 North Virginia Street, Waterloo, NY 13165 | 2012-09-24 |
| 1417204355 | Ute E Gallert | Nurse Practitioner | 369 E. Main Street, Huntington Living Center, Waterloo, NY 13165 | 2012-08-09 |
| 1770803918 | Shelley Reeland | Massage Therapist | 1388 Rt 96 N, Waterloo, NY 13165 | 2010-06-10 |
| 1275856031 | Yecham Kumaraswamy | Pharmacist | 1963 Route 5&20 Street, Waterloo, NY 13165 | 2010-03-09 |
| 1801128632 | David Edward Janack | Pharmacist | 1860 North Road, Waterloo, NY 13165 | 2010-02-04 |
| 1336476753 | Laura Jane Miccuci | Pharmacist | 1963 Routes 5 & 20, Waterloo, NY 13165 | 2009-11-05 |
| 1528203759 | Joanne Farula Corey | Speech-Language Pathologist | 2932 Rt. 96, Waterloo, NY 13165 | 2008-12-02 |
| Find all providers in zip 13165 | ||||
| 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 |
|---|---|---|---|---|
| 1861029548 | Christine Marie Brinkmann | Social Worker | 5203 Kk Rd, Waterloo, IL 62298-3415 | 2020-03-24 |
| 1275052599 | Awaken Grace LLC | Social Worker | 1014 Illinois Ave, Waterloo, IL 62298-1147 | 2017-09-18 |
| 1902324866 | Drier & Associates, Inc. | Social Worker | 3356 Kimball Ave Ste 2, Waterloo, IA 50702-5700 | 2017-08-31 |
| 1730604554 | Andresen Counseling and Consulting LLC | Social Worker | 110 Plaza Cir Ste B, Waterloo, IA 50701-5139 | 2017-08-14 |
| 1265898340 | Elliott Hofts | Social Worker | 3422 Destin Dr, Waterloo, IA 50702-5641 | 2016-01-05 |
| 1215231303 | Jennifer Lea Shaw | Social Worker | 215 E 4th St, Waterloo, IA 50703-4701 | 2011-01-04 |
| 1629302310 | Rhonda Kay Herum | Social Worker | 3731 Pheasant Lane #203, Waterloo, IA 50701 | 2009-09-28 |
| 1063745693 | Charlene R Kincaid | Social Worker | 535 N Wayne St, Waterloo, IN 46793-9701 | 2009-09-15 |
| 1083851083 | Emily K Allaire | Social Worker | 615 Grant Ave, Waterloo, IA 50702-2111 | 2009-01-13 |
| 1306914874 | Stacey Marie Bogart | Social Worker | 1083 Waterloo Geneva Rd, Waterloo, NY 13165-1202 | 2006-12-01 |
| Find all providers in WATERLOO | ||||
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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.