MRS. SHANNON CHRISTINE LEBAK (NPI# 1003052754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003052754 |
| Entity Type | Individual |
| Full Name | MRS. SHANNON CHRISTINE LEBAK |
| Credential | MSW, LCSW |
| Practice Address |
176 Virginia Ave Rochester PA 15074-1723 |
| Mailing Address |
100 Shenango Ave Sharon PA 16146-1503 |
| Practice Telephone | 7247709095 |
| Practice Fax Number | 7247709096 |
| Mailing Telephone | 7247709095 |
| Mailing Fax Number | 7247709096 |
| Enumeration Date | 2008-12-31 |
| Last Update Date | 2017-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CW016986 | PA | Behavioral Health & Social Service Providers |
| Street Address |
176 VIRGINIA AVE |
| City | ROCHESTER |
| State | PA |
| Zip Code | 15074-1723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063411429 | Jane L Thurston | Social Worker | 176 Virginia Ave, Rochester, PA 15074-1723 | 2005-07-19 |
| 1831718147 | Ashley N Wood | Nurse Practitioner | 176 Virginia Ave, Rochester, PA 15074-1723 | 2020-04-16 |
| 1215429691 | Stephanie Mudrick | Dental Hygienist | 176 Virginia Ave, Rochester, PA 15074-1723 | 2018-06-01 |
| 1598253205 | Julia C Sangster | Counselor | 176 Virginia Ave, Rochester, PA 15074-1723 | 2018-04-27 |
| 1831691161 | Lauren Elizabeth Stone | Dental Hygienist | 176 Virginia Ave, Rochester, PA 15074 | 2018-03-02 |
| 1548633647 | Cheryl Neusch | Nurse Practitioner | 176 Virginia Ave, Rochester, PA 15074-1723 | 2015-11-11 |
| 1861881492 | Stacey M. Laverock | Social Worker | 176 Virginia Ave, Rochester, PA 15074-1723 | 2015-01-20 |
| 1184020810 | Lisa Oliver | Registered Nurse | 176 Virginia Ave, Rochester, PA 15074-1723 | 2014-11-06 |
| 1164831657 | Primary Health Network | Clinic/Center | 176 Virginia Ave, Rochester, PA 15074-1723 | 2014-08-08 |
| 1114297652 | Angela Marie Gilkey | Registered Nurse | 176 Virginia Ave, Rochester, PA 15074 | 2011-12-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922657162 | Leslie C. Yaccich | Technician | 742 Mclean Street, Rochester, PA 15074 | 2019-09-10 |
| 1366969339 | Jenna Marie George | Dietitian, Registered | 300 Brighton Avenue, Suite 110, Rochester, PA 15074 | 2017-08-29 |
| 1457759334 | Monica Joyce Dickerman | Occupational Therapist | 174 Virginia Avenue, Rochester, PA 15074 | 2014-12-09 |
| 1356501712 | Eudora Patricia Williams | Durable Medical Equipment & Medical Supplies | 454 Hamrony Ave, Rochester, PA 15074 | 2008-06-10 |
| 1629137559 | Mario A. Grippa | Chiropractor | 373 Virginia Avenue, Rochester, PA 15074 | 2006-12-06 |
| 1760044093 | Hidden Hill Horse Farm | Recreation Therapist | 600 Pittsburgh Rd, Rochester, PA 15074-1003 | 2019-07-08 |
| 1821061631 | Rochester Area School District | Case Management | 540 Reno St, Rochester, PA 15074-1240 | 2006-02-10 |
| 1396774790 | Rochester Area School District | Local Education Agency (LEA) | 540 Reno St, Rochester, PA 15074-1240 | 2006-06-30 |
| 1154757789 | Passavant Memorial Homes | Community/Behavioral Health | 641 Reno St, Baldwin B, Rochester, PA 15074-1253 | 2013-09-14 |
| 1609891498 | Penn Beaver Pharmacy Inc | Pharmacy | 734 Ohio River Blvd, Rochester Plaza, Rochester, PA 15074-1413 | 2006-07-13 |
| Find all providers in zip 15074 | ||||
| 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 |
|---|---|---|---|---|
| 1417562299 | Katelyn Connolly | Social Worker | 1017 33rd St Nw, Rochester, MN 55901-1484 | 2020-09-09 |
| 1427660711 | Annika Peterson | Social Worker | 2632 5th Ave Nw, Rochester, MN 55901-2363 | 2020-08-19 |
| 1649888116 | Michelle Solomou | Social Worker | 61 Evandale Rd, Rochester, NY 14618-3901 | 2020-07-21 |
| 1366067753 | Ashraf Khater | Social Worker | 513 University Park, Rochester, NY 14620-4434 | 2020-06-10 |
| 1770115560 | Diana Lerner | Social Worker | 1441 Clover St, Rochester, NY 14610-3313 | 2020-02-10 |
| 1922639111 | Kristina Maria Washington | Social Worker | 121 Stover Rd, Rochester, NY 14624-4451 | 2020-01-28 |
| 1689210072 | Vanessa Dannielle Peavy | Social Worker | The University of Rochester, 738 Library Rd., Rochester, NY 14627-1462 | 2019-11-21 |
| 1336799972 | Element Psychotherapy LLC | Social Worker | 333 1/2 S Main St Ste B-1, Rochester, MI 48307-2084 | 2019-09-16 |
| 1215586920 | Caswell Vincent Smith | Social Worker | 161 California Dr, Rochester, NY 14616-4209 | 2019-09-05 |
| 1568010163 | Antoinette Palka Gauthier | Social Worker | 115 Lomb Memorial Dr, Rochester, NY 14623-5608 | 2019-08-28 |
| Find all providers in ROCHESTER | ||||
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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.