PARIS C SHIELDS (NPI# 1114270436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114270436 |
| Entity Type | Individual |
| Full Name | PARIS C SHIELDS |
| Credential | LCSW |
| Practice Address |
3316 Bemiss Rd Valdosta GA 31605 |
| Mailing Address |
3316 Bemiss Rd Valdosta GA 31605-7014 |
| Practice Telephone | 2295609752 |
| Practice Fax Number | 2292627335 |
| Mailing Telephone | 2292627333 |
| Mailing Fax Number | 2292627335 |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2020-03-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | 005835 | GA | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW005676 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | GEORGIA COMPOSITE BOARD OF PC, SW AND LMFT | CSW005676 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3354 Greystone Way, Valdosta, GA 316051096 | 2292417883 | 2292417479 |
| Street Address |
3316 BEMISS RD |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144599945 | Ashley Fink Shapiro | Social Worker | 3316 Bemiss Rd, Valdosta, GA 31605-7014 | 2011-12-22 |
| 1013571785 | Holly Wingate | Counselor | 3316 Bemiss Rd, Valdosta, GA 31605-7014 | 2019-04-27 |
| 1144707480 | Ashley Shapiro, LLC | Social Worker | 3316 Bemiss Rd, Valdosta, GA 31605-7014 | 2018-07-19 |
| 1437689122 | Justin Moore | Marriage & Family Therapist | 3316 Bemiss Rd, Valdosta, GA 31605-7014 | 2017-06-14 |
| 1144654674 | Regina Katherine Wisenbaker | Social Worker | 3316 Bemiss Rd, Valdosta, GA 31605-7014 | 2013-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484718 | Mckenna Kristine Bachmann | Specialist/Technologist | Moody Air Force Base, Valdosta, GA 31605 | 2020-07-14 |
| 1376056366 | Michael Brent Robinson Sr. | Contractor | 3863 Camellia Dr., Valdosta, GA 31605 | 2017-11-13 |
| 1679013452 | Baptist Specialty Physicians Inc | Pediatrics | 3301 N Oak St Ext, Valdosta, GA 31605 | 2017-02-28 |
| 1649683541 | Dustin Ross Kilby | Dentist | 2704 Oak Center Dr, Valdosta, GA 31605 | 2014-06-09 |
| 1659643286 | Brittnaey Nicole Freeman | Behavioral Analyst | 3982 Karaline Cir, Valdosta, GA 31605 | 2012-01-27 |
| 1780970335 | Laura Christen Cribbs | Counselor | 3312-d N Oak Street Ext, Valdosta, GA 31605 | 2011-06-22 |
| 1992090633 | Mary Katelyn Harper | Pharmacist | 3200 North Oak Street, Valdosta, GA 31605 | 2011-06-10 |
| 1053532937 | Robert Mark Pearson | Dentist | 3227 N. Oak St. Ext., Valdosta, GA 31605 | 2007-05-01 |
| 1083838650 | Am Sleep Diagnostics and Research Center | Clinic/Center | 3334 Greyatone Way, Valdosta, GA 31605 | 2007-04-12 |
| 1831236181 | William Ashley Moorman | Dentist | Advanced Dental Care, 3211 Wildwood Plantation Drive, Valdosta, GA 31605 | 2007-01-30 |
| Find all providers in zip 31605 | ||||
| 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 |
|---|---|---|---|---|
| 1326647629 | Sheba Phillips | Social Worker | 2402 Orlando Dr, Valdosta, GA 31602-1921 | 2020-10-19 |
| 1093323982 | Jessica Mcconnell Duke | Social Worker | 3860 Heather Way, Valdosta, GA 31605-7881 | 2020-07-16 |
| 1225651540 | Jaqueline Rose Vallina | Social Worker | 340 Gonwood Cir, Valdosta, GA 31602-1631 | 2020-05-20 |
| 1821610452 | Bridgeway Recovery Center, LLC | Social Worker | 1102 Williams St, Valdosta, GA 31601-4041 | 2020-05-18 |
| 1477032563 | Anissa White | Social Worker | 3708 Knights Mill Dr, Valdosta, GA 31605-6582 | 2018-08-09 |
| 1578009254 | Martha M. Giddings | Social Worker | 3790 Old Us Highway 41 N, Ste A, Valdosta, GA 31602-6865 | 2017-01-18 |
| 1366825010 | William Brantley Wheeler | Social Worker | 1503 E Park Ave Apt D10, Valdosta, GA 31602-5304 | 2015-06-30 |
| 1821480799 | Lyssa Nickle | Social Worker | 3021 Schroer Dr, Valdosta, GA 31602-4067 | 2015-03-02 |
| 1730503632 | Center for Personal and Family Growth LLC | Social Worker | 2704 N Oak St Bldg L, Valdosta, GA 31602-1790 | 2014-02-12 |
| 1376893131 | Catherine Lee Hoover | Social Worker | 3036 Academy Dr, Valdosta, GA 31605-4712 | 2012-09-19 |
| Find all providers in VALDOSTA | ||||
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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.