RYAN SHOOK (NPI# 1003187196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003187196 |
| Entity Type | Individual |
| Full Name | RYAN SHOOK |
| Credential | LCSW |
| Practice Address |
147 Durham Rd Madison CT 06443-2675 |
| Practice Telephone | 8602383632 |
| Mailing Telephone | 8602383632 |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2019-07-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
10681 | CT | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 130 Elm St, Old Saybrook, CT 064754105 | 8607449780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881849883 | Ryan Seth Shook | Internal Medicine | 7900 N Stadium Dr Apt 93, Houston, TX 77030-4417 | 2008-11-19 |
| 1437358462 | Ryan Robert Shook | Emergency Medicine | 9333 Imperial Hwy, Kaiser Permanente Downey Medical Center, Emergency Dept, Downey, CA 90242-2812 | 2007-07-11 |
| Street Address |
147 DURHAM RD |
| City | MADISON |
| State | CT |
| Zip Code | 06443-2675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922022359 | Susan M. James | Clinical Nurse Specialist | 147 Durham Rd, Oak Park, Madison, CT 06443-2675 | 2006-07-27 |
| 1730679861 | Maryann Y Grimaldi Lmft, LLC | Marriage & Family Therapist | 147 Durham Rd, Madison, CT 06443-2675 | 2018-05-15 |
| 1417329954 | Jennifer Rebecca Brant | Social Worker | 147 Durham Rd, Suite 1, Madison, CT 06443-2675 | 2015-10-23 |
| 1437535580 | Rebecca L. Petersen, Lcsw, LLC | Social Worker | 147 Durham Rd, Oak Park, Madison, CT 06443-2675 | 2015-07-30 |
| 1003126491 | Greta E Macmillan | Social Worker | 147 Durham Rd, Madison, CT 06443-2675 | 2010-10-19 |
| 1306159405 | Townshend-lacock, Inc. | Social Worker | 147 Durham Rd, Madison, CT 06443-2675 | 2010-07-17 |
| 1124352174 | Rebecca Lee Petersen | Social Worker | 147 Durham Rd, Oak Park, Madison, CT 06443-2675 | 2009-09-23 |
| 1316133606 | Linda Ruth Nickerson | Psychologist | 147 Durham Rd, Madison, CT 06443-2675 | 2007-09-20 |
| 1861684151 | Maryann Y Grimaldi | Marriage & Family Therapist | 147 Durham Rd, Madison, CT 06443 | 2007-08-10 |
| 1710183546 | Cynthia Townshend-lacock | Psychologist | 147 Durham Rd, Madison, CT 06443-2675 | 2007-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194127506 | Heather R. Clinton | Social Worker | 847 West Main Street, Suite 3, Branford, CT 06443 | 2014-09-17 |
| 1477973378 | Katrina Louise Furey | Psychiatry & Neurology | 147 Durham Rd Ste 12a-ne, Madison, CT 06443 | 2014-04-18 |
| 1972920114 | Elizabeth Laberee | Internal Medicine | 80 Devonshire Lane, Madison, CT 06443 | 2014-03-26 |
| 1588007314 | Avery Grauer | Psychiatry & Neurology | 175 Copse Road, Madison, CT 06443 | 2013-04-11 |
| 1295077790 | Gordon Seth Cohen | Pathology | 3 Silo Hill Road, Madison, CT 06443 | 2013-03-22 |
| 1073750493 | Darlene F. Talavera | Occupational Therapist | 22 Overshore Drive, Madison, CT 06443 | 2009-01-08 |
| 1013182518 | Susan Jean Isaac | Social Worker | 105 Winding Road, Unit 2, Madison, CT 06443 | 2008-04-25 |
| 1083893606 | Kornelia Keszler, Md, PC | Internal Medicine | 1-b Meigswood Ave, Madison, CT 06443 | 2007-10-31 |
| 1811181126 | Traci Marando | Nurse Practitioner | 20 Madrina Lane, Madison, CT 06443 | 2007-08-29 |
| 1790803419 | Linda L. Young | Social Worker | 2 Samson Rock Drive, Unit 2g, Madison, CT 06443 | 2007-03-27 |
| Find all providers in zip 06443 | ||||
| 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 |
|---|---|---|---|---|
| 1306446257 | Richard Harry Goldberg | Social Worker | 1514 Wood Ln, Madison, WI 53705-1457 | 2020-10-29 |
| 1710586219 | Megan Beckler | Social Worker | 49 Kessel Ct Bldg 25, Madison, WI 53711-6200 | 2020-10-26 |
| 1003436759 | Creating Space, LLC | Social Worker | 1915 Winnebago St Ste 101, Madison, WI 53704-5322 | 2020-04-23 |
| 1871143370 | Cecilia Goldschmidt | Social Worker | 2445 Darwin Rd Ste 15, Madison, WI 53704-3116 | 2019-09-17 |
| 1699321760 | Golden Vibes Counseling Center | Social Worker | 303 S Paterson St, Madison, WI 53703-4528 | 2019-08-14 |
| 1285293530 | Bianca Whitney | Social Worker | 506 Charles Ln, Madison, WI 53711-1312 | 2019-06-11 |
| 1598322505 | Judith Coursen Stevens | Social Worker | 147 Durham Road, Madison, CT 06443-1262 | 2019-05-24 |
| 1750840575 | Kimberly Michelle Horton | Social Worker | 102 Crabapple Grv, Madison, MS 39110-7098 | 2019-03-19 |
| 1497211387 | Latasha Monique Williams | Social Worker | Patriot Place (va), 314 Williams Avenue, Ste. 100, Madison, TN 37115 | 2019-02-15 |
| 1528536976 | Emily Elizabeth Morris | Social Worker | 4002 Nakoosa Trl, Madison, WI 53714-1314 | 2018-11-04 |
| Find all providers in MADISON | ||||
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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.