MS. SHELLY ANN STUM (NPI# 1093062952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093062952 |
| Entity Type | Individual |
| Full Name | MS. SHELLY ANN STUM |
| Credential | MSW |
| Practice Address |
257 Georgetowne Blvd Daytona Beach FL 32119-8903 |
| Practice Telephone | 3869444707 |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2020-04-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW13007 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 016430000 | 05 |
| Street Address |
257 GEORGETOWNE BLVD |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32119-8903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710509476 | Peaceful Healing Solutions, LLC | Social Worker | 1655 Restarrick Ave, South Daytona, FL 32119 | 2020-05-15 |
| 1124570585 | Kunning Li | Acupuncturist | 2135 S Ridgewood Ave, South Daytona, FL 32119 | 2016-11-01 |
| 1720451040 | Tyler M Mckinniss | Chiropractor | 1614 S Ridgewood Ave Ste 200, South Daytona, FL 32119 | 2015-11-09 |
| 1821428954 | Jesse Robert Hodges Jr. | Chiropractor | 1780 S Nova Rd Ste 4, South Daytona, FL 32119 | 2013-11-27 |
| 1831347350 | Pamela Marie Lavigna | Counselor | 1635 S. Ridgewood Ave, Suite 225, South Daytona, FL 32119 | 2008-09-09 |
| 1922214279 | Karen Sue Pulaski | Physical Therapist | 401 Venture Ave. Suite C, South Daytona, FL 32119 | 2007-05-15 |
| 1245369180 | Cathryn C Cucchiaro | Marriage & Family Therapist | 2001 S Ridgewood Ave, South Daytona, FL 32119 | 2007-03-05 |
| 1629136775 | Dennis Andrew Kuack | Dentist | 2644 S Ridgewood Ave, South Daytona, FL 32119 | 2006-12-04 |
| 1639246630 | Robert J Amara | Chiropractor | 2750 S Ridgewood Ave #c, South Daytona, FL 32119 | 2006-11-29 |
| 1306910385 | Filutowski Eye Institute Pa | Clinic/Center | 110 Yorktowne Drive, Daytona Beach, FL 32119 | 2006-11-20 |
| Find all providers in zip 32119 | ||||
| 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 |
|---|---|---|---|---|
| 1134736259 | Bethany Tabetha Stapinski | Social Worker | 1530 Cornerstone Blvd Ste 100, Daytona Beach, FL 32117-7129 | 2020-09-24 |
| 1710492913 | Timothy P Pickerrell | Social Worker | 133 Integra Breeze Ln Unit 104, Daytona Beach, FL 32117-5584 | 2017-12-11 |
| 1265978001 | Marcia Williams | Social Worker | 249 Oak Tree Cir, Daytona Beach, FL 32114-5782 | 2017-01-18 |
| 1538516885 | Amanda Nixon | Social Worker | 444 Seabreeze Blvd, Suite 730, Daytona Beach, FL 32118-3958 | 2016-05-17 |
| 1003288580 | Trenton Friar | Social Worker | 337 Garden St, Daytona Beach, FL 32114 | 2015-10-23 |
| 1164851036 | Christina Marie Kunisch | Social Worker | 1221 Willis Avenue, Daytona Beach, FL 32114-2810 | 2013-11-01 |
| 1427499847 | Jennifer Ketring | Social Worker | 228 S Beach St, Daytona Beach, FL 32114-4404 | 2013-07-14 |
| 1003253402 | Karen E Bradt | Social Worker | 340 S Beach St, Suite 101 3n, Daytona Beach, FL 32114-5079 | 2013-05-27 |
| 1215286323 | Laura Sterling | Social Worker | 325 South Segrave Street, Daytona Beach, FL 32114 | 2012-09-05 |
| 1891003786 | Charles Harmon Stewart | Social Worker | 702 S Ridgewood Ave, Daytona Beach, FL 32114-5332 | 2010-09-14 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32119 |
Please comment or provide details below to improve the information on MS. SHELLY ANN STUM.
| 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.