SHANNON R MARTIN (NPI# 1962708685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962708685 |
| Entity Type | Individual |
| Full Name | SHANNON R MARTIN |
| Credential | LCSW |
| Practice Address |
2120 S Mcclintock Dr Suite 105 Tempe AZ 85282-2692 |
| Mailing Address |
1400 E Southern Ave Ste. 735 Tempe AZ 85282-5691 |
| Practice Telephone | 4808040326 |
| Practice Fax Number | 4803027884 |
| Mailing Telephone | 4808040326 |
| Mailing Fax Number | 4803027884 |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2015-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW-13585 | AZ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 709592 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001818 | Shannon Nicole Martin | Nurse Practitioner | 924 Seton Dr # C, Cumberland, MD 21502-1851 | 2020-10-21 |
| 1114584927 | Shannon Martin | Social Worker | 5600 W Maple Rd Ste 302, West Bloomfield, MI 48322-3700 | 2019-05-28 |
| 1679047690 | Shannon Nicole Martin | Counselor | 7676 Hillmont St Ste 204, Houston, TX 77040-6469 | 2019-01-12 |
| 1952846537 | Shannon Martin | Licensed Vocational Nurse | 22346 Hawthorn Ave, Moreno Valley, CA 92553-6988 | 2017-01-05 |
| 1477913903 | Shannon E Martin | Nurse Practitioner | 1012 Route 36, Atlantic Highlands, NJ 07716-2469 | 2016-02-25 |
| 1538539531 | Shannon Martin | Psychologist | 1300 Allison St Nw, Washington, DC 20011-4441 | 2015-10-02 |
| 1982818597 | Shannon Martin | Internal Medicine | 830 W. Michigan Avenue, Marshall, MI 49068 | 2007-05-10 |
| 1831203967 | Shannon M Martin | Dentist | 12650 Warwick Blvd, Newport News, VA 23606-2590 | 2006-08-18 |
| 1376579292 | Shannon Rutherford Martin | Chiropractor | 427 S Boston Ave, Suite 515, Tulsa, OK 74103-4141 | 2006-06-23 |
| 1023677762 | Shannon Martin | Counselor | 328 Main St, Southbridge, MA 01550-3794 | 2019-06-06 |
| Street Address |
2120 S MCCLINTOCK DR SUITE 105 |
| City | TEMPE |
| State | AZ |
| Zip Code | 85282-2692 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902885031 | Patricia L Birmingham | Counselor | 2120 S Mcclintock Dr, Suite 105, Tempe, AZ 85282-2692 | 2006-01-17 |
| 1730676313 | Megan Gittins | Counselor | 2120 S Mcclintock Dr, Tempe, AZ 85282-2692 | 2018-04-18 |
| 1164963567 | Jenalee Remy | Counselor | 2120 S Mcclintock Dr, Suite 105, Tempe, AZ 85282-2692 | 2017-03-17 |
| 1942749361 | Esther Delpozo | Social Worker | 2120 S Mcclintock Dr, Suite 105, Tempe, AZ 85282-2692 | 2017-02-17 |
| 1215473806 | Miriam Emran | Counselor | 2120 S Mcclintock Dr, Suite 105, Tempe, AZ 85282-2692 | 2017-01-06 |
| 1497299432 | Lisa Mendoza | Counselor | 2120 S Mcclintock Dr, Suite 105, Tempe, AZ 85282-2692 | 2016-12-09 |
| 1699218008 | Rebecca Jensen | Counselor | 2120 S Mcclintock Dr, Suite 105, Tempe, AZ 85282-2692 | 2016-12-02 |
| 1154863595 | Franchesca V Johnson | Social Worker | 2120 S Mcclintock Dr, Suite 105, Tempe, AZ 85282-2692 | 2016-11-16 |
| 1861934200 | Courtney South | Counselor | 2120 S Mcclintock Dr, Suite 105, Tempe, AZ 85282-2692 | 2016-11-16 |
| 1457893349 | Allison Laughlin | Social Worker | 2120 S Mcclintock Dr, Suite 105, Tempe, AZ 85282-2692 | 2016-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346893575 | Cactus Canyon Dental | Dentist | 2043 E Southern Ave, Ste. C, Tempe, AZ 85282 | 2019-07-17 |
| 1023679644 | Donna Cooks | Registered Nurse | 233 E. Sourthern Ave #27702, Tempe, AZ 85282 | 2019-06-25 |
| 1841854932 | Lynn Stafford | Registered Nurse | 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-04-24 |
| 1598227340 | Jane Ramenofsky Ramenofsky Stewart | Registered Nurse | 4041 So. Mcclintock Suite 302, Tempe, AZ 85282 | 2019-04-02 |
| 1588129902 | Mary K Wheeler Mcfarland | Registered Nurse | Adobe Care and Wellness LLC, Address Is 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-02-11 |
| 1669949780 | Crestview Pharmacy Services LLC | Pharmacy | 3225 South Hardy Dr., Ste 100, Tempe, AZ 85282 | 2018-10-26 |
| 1275018715 | Berlin Wright | Naturopath | 2164 E. Broadway Rd., Tempe, AZ 85282 | 2018-10-01 |
| 1043701543 | Lakeshore Interventional Treatment Center LLC | Surgery | 4765 S Lakeshore Dr, Tempe, AZ 85282 | 2018-05-21 |
| 1427553940 | The Bridge Counseling, Consulting and Mediation LLC | Counselor | 4625 S. Lakeshore Dr., 302, Tempe, AZ 85282 | 2018-03-27 |
| 1346741501 | Coraesthetics Pllc | Physician Assistant | 2008 E Laguna Dr, Tempe, AZ 85282 | 2018-02-23 |
| Find all providers in zip 85282 | ||||
| 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 |
|---|---|---|---|---|
| 1992315923 | Kelli Friedel | Social Worker | 2168 E Sanos Dr, Tempe, AZ 85281-7427 | 2020-08-04 |
| 1720630791 | Reflective Therapeutic Services, LLC | Social Worker | 8400 S Kyrene Rd Ste 116, Tempe, AZ 85284-2119 | 2019-07-10 |
| 1467017848 | Empowering You Therapy LLC | Social Worker | 20 E University Dr Ste 208, Tempe, AZ 85281-3676 | 2019-05-01 |
| 1225527302 | Linda Jule Weinberg | Social Worker | 1027 W 12th St, Tempe, AZ 85281-5363 | 2018-05-04 |
| 1114462314 | Emma Hertzel Lcsw LLC | Social Worker | 6197 S Rural Rd Ste 101, Tempe, AZ 85283-2909 | 2016-12-23 |
| 1083003727 | Dennily C Stricker | Social Worker | 2312 E Cairo Dr, Tempe, AZ 85282-4111 | 2015-01-19 |
| 1144639667 | Latricia Andrews-gilman | Social Worker | 600 E Baseline Rd Ste C-1, Tempe, AZ 85283-1267 | 2014-08-08 |
| 1801235676 | Leonard Vincent Nasca | Social Worker | 1200 E Southern Ave, Tempe, AZ 85282-5606 | 2013-06-14 |
| 1245588078 | Paul Charles Appel | Social Worker | 1230 W. Washington Street, Suite 401, Tempe, AZ 85281 | 2012-08-28 |
| 1508143702 | Lisa Benner | Social Worker | 1057 N Parkside Dr, #425, Tempe, AZ 85281-3153 | 2011-11-16 |
| Find all providers in TEMPE | ||||
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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.