SHANNON TAVIS (NPI# 1063052009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063052009 |
| Entity Type | Individual |
| Full Name | SHANNON TAVIS |
| Credential | LMSW |
| Practice Address |
3290 W Big Beaver Rd Ste 188 Troy MI 48084-2915 |
| Practice Telephone | 2484575178 |
| Practice Fax Number | 2487929234 |
| Mailing Telephone | 2484575178 |
| Mailing Fax Number | 2487929234 |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801106220 | MI | Behavioral Health & Social Service Providers |
| Street Address |
3290 W BIG BEAVER RD STE 188 |
| City | TROY |
| State | MI |
| Zip Code | 48084-2915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851759278 | Lauren Field | Counselor | 3290 W Big Beaver Rd Ste 188, Troy, MI 48084 | 2016-01-30 |
| 1174179402 | Self-care Counseling Services Pllc | Social Worker | 3290 W Big Beaver Rd Ste 188, Troy, MI 48084-2915 | 2019-08-13 |
| 1891340626 | Ann Christine O'neill | Counselor | 3290 W Big Beaver Rd Ste 188, Troy, MI 48084-2915 | 2019-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497360242 | Keely Erin Zuri | Physical Therapy Assistant | 3250 W. Big Beaver, Troy, MI 48084 | 2020-09-09 |
| 1841762473 | Hunter Thomas Michaels | Kinesiotherapist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-12-20 |
| 1265900864 | Michelle Denise Carter | Massage Therapist | 3250 West Big Beaver Suite 228, Troy, MI 48084 | 2018-11-13 |
| 1770083925 | Troy Daniel Burrell | Clinical Exercise Physiologist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-02-14 |
| 1174030175 | Alexander Scott | Kinesiotherapist | 3250 W. Big Beaver Rd., Troy, MI 48084 | 2017-12-29 |
| 1568977213 | Mallory Rose Valeri | Specialist/Technologist | 3250 W. Big Beaver Rd, Suite 228, Troy, MI 48084 | 2017-12-04 |
| 1710409651 | Eduardo Martin Pinto | Pharmacist | 3811 Coolidge Hwy, Troy, MI 48084 | 2017-07-12 |
| 1659891653 | Tricia Michelle Forgash | Recreation Therapist | 1998 Dorchester Dr. N 106, Troy, MI 48084 | 2017-06-21 |
| 1265806939 | Tammy Scott-barney | Nurse Practitioner | 888 W Big Beaver Rd Ste 900, Troy, MI 48084 | 2015-11-18 |
| 1083084669 | Camler Medical LLC | Durable Medical Equipment & Medical Supplies | 100 West Big Beaver Rd, Suite 200, Troy, MI 48084 | 2015-09-25 |
| Find all providers in zip 48084 | ||||
| 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 |
|---|---|---|---|---|
| 1629676275 | Chester Counseling LLC | Social Worker | 2833 Crooks Rd Ste 104, Troy, MI 48084-4732 | 2020-10-15 |
| 1053922344 | Dejuana Mcgee | Social Worker | 555 Kirts Blvd Apt 9, Troy, MI 48084-4105 | 2020-08-11 |
| 1780220939 | Meagan Hahn | Social Worker | 2032 E Square Lake Rd Ste 200d, Troy, MI 48085-3315 | 2019-11-22 |
| 1679124523 | Rachel K Garrett | Social Worker | 201 Randolph St, Troy, AL 36081-4529 | 2019-09-23 |
| 1801440367 | Ashley Kays Zair, Lmsw, LLC | Social Worker | 3290 W. Big Beaver Rd., Suite 188, Troy, MI 48084-2915 | 2019-08-01 |
| 1255984860 | Inner Guidance Counseling Center, Pllc | Social Worker | 625 E Big Beaver Rd Ste 104, Troy, MI 48083-1413 | 2019-07-23 |
| 1205499100 | Kathleen A Becker Lmsw LLC | Social Worker | 650 E Big Beaver Rd Ste B, Troy, MI 48083-1432 | 2019-04-16 |
| 1063980563 | Rapha Counseling | Social Worker | 3668 Livernois Rd Ste 420, Troy, MI 48083-5035 | 2018-11-02 |
| 1104303734 | Samantha Voss | Social Worker | 575 E Big Beaver Rd Ste 210, Troy, MI 48083-1301 | 2018-07-26 |
| 1629555677 | Christine Ann Waller | Social Worker | 125 Fox Harbor Dr, Troy, OH 45373-1088 | 2018-07-23 |
| Find all providers in TROY | ||||
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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.