DR. SHANNON WALSDORF (NPI# 1053702043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053702043 |
| Entity Type | Individual |
| Full Name | DR. SHANNON WALSDORF |
| Credential | PHD, MSW, LCSW |
| Practice Address |
4005 Azalea Ct Mandeville LA 70448-7044 |
| Practice Telephone | 9853738609 |
| Mailing Telephone | 9853738609 |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2015-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
11202 | LA | Behavioral Health & Social Service Providers |
| Street Address |
4005 AZALEA CT |
| City | MANDEVILLE |
| State | LA |
| Zip Code | 70448-7044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962035964 | Tyler Trenton Wansley | Nurse Practitioner | 23515 Us-190, Mandeville, LA 70448 | 2020-02-18 |
| 1346712957 | Start Corporation | Clinic/Center | 23251 South Robin Road, Mandeville, LA 70448 | 2018-12-20 |
| 1952870362 | Oh Project-lafayette | Community/Behavioral Health | 23515 Us 190, Northlake Academy Building, Mandeville, LA 70448 | 2018-11-14 |
| 1083113187 | Amanda Stokes Barker | Occupational Therapist | 1903 University Dr, Mandeville, LA 70448 | 2018-02-05 |
| 1629594544 | Ochsner Clinic LLC | Internal Medicine | 3235 E Causeway Approach, Mandeville, LA 70448 | 2017-08-22 |
| 1831628288 | Katherine Lea Gristina | Speech-Language Pathologist | 307 Copal Street, Mandeville, LA 70448 | 2017-06-08 |
| 1154779551 | Jonathan Ferguson | Specialist/Technologist | 26301 La-1088, Mandeville, LA 70448 | 2016-05-26 |
| 1568821874 | Raymond Wallace IIi | Licensed Vocational Nurse | 23861 South Robin Rd, Mandeville, LA 70448 | 2016-02-15 |
| 1548629140 | Martha Miller | Clinical Nurse Specialist | 400 Mariner's Blvd, Mandeville, LA 70448 | 2016-02-11 |
| 1023483435 | Tina Marie Catalano | Licensed Practical Nurse | 23861 South Robin Road, Mandeville, LA 70448 | 2015-12-10 |
| Find all providers in zip 70448 | ||||
| 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 |
|---|---|---|---|---|
| 1447878418 | Laurel Foster Chenier | Social Worker | 221 Dona Dr, Mandeville, LA 70448-4717 | 2020-07-07 |
| 1467088120 | Ashley Escalante | Social Worker | 1380 Ridge Way Dr, Mandeville, LA 70471-7460 | 2020-03-13 |
| 1053952135 | Anna Alicia Mercante | Social Worker | 600 Mariners Plaza Dr Ste 601c, Mandeville, LA 70448-6822 | 2019-09-30 |
| 1316594971 | Ada Wynne Marion | Social Worker | 510 Lotus Dr N, Mandeville, LA 70471-2808 | 2019-08-19 |
| 1598206211 | Rebecca Y Vonier | Social Worker | 2 Hunt Cir, Mandeville, LA 70471-7235 | 2017-03-14 |
| 1265801666 | Beverley Musson | Social Worker | 2735 Monroe St, Mandeville, LA 70448-5646 | 2015-09-16 |
| 1205202322 | Diane Cooper | Social Worker | 8 Sonny Ln, Mandeville, LA 70448-2267 | 2015-08-12 |
| 1801294285 | David Glen Romero | Social Worker | 201 Carroll St Ste 202, Mandeville, LA 70448-5707 | 2014-12-16 |
| 1154731339 | The Coping Center, LLC | Social Worker | 1901 Highway 190 Apt M130, Mandeville, LA 70448-3493 | 2014-04-28 |
| 1619398377 | Eric Kinchen | Social Worker | 350 N Causeway Blvd, Mandeville, LA 70448-4637 | 2013-12-26 |
| Find all providers in MANDEVILLE | ||||
| City | MANDEVILLE |
| Zip Code | 70448 |
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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.