SHANNON REBECCA WALSH (NPI# 1124638481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124638481 |
| Entity Type | Individual |
| Full Name | SHANNON REBECCA WALSH |
| Practice Address |
10 N Main St Bristol CT 06010-8122 |
| Mailing Address |
79 Fitzgerald Dr East Hartford CT 06118-2361 |
| Practice Telephone | 8607933500 |
| Mailing Telephone | 8606825373 |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2020-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689026973 | Shannon Taylor Walsh | Technician, Other | 8602 Ravine Dr, Westland, MI 48185-1336 | 2016-07-11 |
| 1750995221 | Shannon Walsh | Behavioral Analyst | 1 Andover Rd, New Fairfield, CT 06812-3012 | 2020-09-02 |
| 1023676616 | Shannon Joyce Walsh | Dietitian, Registered | 1000 E Washington St, Medina, OH 44256-2167 | 2019-05-30 |
| 1134624125 | Shannon Janice Walsh | Student in an Organized Health Care Education/Training Program | 22 Bramhall St, Portland, ME 04102-3175 | 2018-03-29 |
| 1982146106 | Shannon Walsh | Social Worker | 250 Commercial St, 330, Worcester, MA 01608-1726 | 2016-11-07 |
| 1427385319 | Shannon Jarosh Walsh | Emergency Medicine | 1250 E Marshall St, Richmond, VA 23298-5051 | 2009-11-12 |
| Street Address |
10 N MAIN ST |
| City | BRISTOL |
| State | CT |
| Zip Code | 06010-8122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942815782 | Khushboo Surti | Nurse Practitioner | 10 N Main St, Bristol, CT 06010-8122 | 2020-09-09 |
| 1396381448 | Wheeler Clinic Inc. | Clinic/Center | 10 N Main St, Bristol, CT 06010-8122 | 2019-11-25 |
| 1538700042 | Helen Margaret Nutt | Nurse Practitioner | 10 N Main St, Bristol, CT 06010-8122 | 2019-10-06 |
| 1578118162 | Kelli Ann Klies | Registered Nurse | 10 N Main St, Bristol, CT 06010-8122 | 2019-08-09 |
| 1750850467 | Julio Angel Sanchez | Registered Nurse | 10 N Main St, Bristol, CT 06010-8122 | 2018-11-26 |
| 1841773959 | Lisa Marie Roth | Case Manager/Care Coordinator | 10 N Main St, Bristol, CT 06010-8122 | 2018-09-13 |
| 1144709585 | Adilsa R Encarnacao | Social Worker | 10 N Main St, Bristol, CT 06010-8122 | 2018-08-07 |
| 1114415007 | Germaine Michele Andrews | Registered Nurse | 10 N Main St, Bristol, CT 06010-8122 | 2018-04-25 |
| 1548760119 | Wheeler Clinic Inc. | Clinic/Center | 10 N Main St, Bristol, CT 06010-8122 | 2018-02-20 |
| 1821509084 | Tashana Abigail Davis | Registered Nurse | 10 N Main St, Bristol, CT 06010-8122 | 2017-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457991309 | A New Hope Caregiving Alliance LLC | Home Health | 225 North Main Street - Suite 107, Bristol, CT 06010 | 2020-01-08 |
| 1154981777 | Georgianna Sloate Lmft, LLC | Marriage & Family Therapist | 38 Kelley Street, Bristol, CT 06010 | 2019-06-17 |
| 1962062810 | Ariel Morley | Urology | 15 Riverside Avenue, Bristol, CT 06010 | 2019-06-13 |
| 1013439488 | Theresa Rose Manolitsis | Student in an Organized Health Care Education/Training Program | 170 Pondview Lane, Bristol, CT 06010 | 2017-07-07 |
| 1588103600 | Elizabeth Anne Costello | Pharmacist | 747 Pine Street, Bristol, CT 06010 | 2017-02-22 |
| 1992157903 | Aiman Riaz | Internal Medicine | 41 Brewster Rd # 5161, Bristol, CT 06010 | 2016-07-01 |
| 1346609955 | Monika Magdalena Sullivan | Nurse Practitioner | 122 Maple Street, Bristol, CT 06010 | 2016-02-11 |
| 1346660776 | Peter Bellezza | Podiatrist | 15 Riverside Ave, Bristol, CT 06010 | 2014-04-24 |
| 1487088001 | Stephen Alexander Merwin | Social Worker | 32 Laird Drive, Bristol, CT 06010 | 2013-08-30 |
| 1215369574 | In Kyung Lee | Dentist | 1192 Farmington Ave., Bristol, CT 06010 | 2013-08-08 |
| Find all providers in zip 06010 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205440120 | Lavonne Womack | Social Worker | 1325 Farmington Ave Apt 12, Bristol, CT 06010-4774 | 2020-09-08 |
| 1235658147 | Leah Elizabeth Cohen | Social Worker | 100 Green Ln Ste 2, Bristol, PA 19007 | 2017-09-12 |
| 1316075468 | Sharon Kay Good | Social Worker | 498 Industrial Drive, Bristol, TN 37620 | 2007-03-01 |
| 1538218805 | Kelly Anne Mangiafico | Social Worker | 1098 Farmington Ave, Bristol, CT 06010-4705 | 2007-01-09 |
| 1477565596 | Freida A Crutchfield | Social Worker | 26 Midway, Bristol Regional Counseling Ctr, Bristol, TN 37620 | 2006-08-13 |
| 1649221011 | Twin Oaks Juvenile Development, Inc | Social Worker | 11939 Nw State Road 20, Bristol, FL 32321-3416 | 2006-05-12 |
| 1285619346 | Patricia Logan Richard | Social Worker | 440 D N Main St, Bristol, CT 06010 | 2005-12-13 |
| 1295334241 | Tracey Marie Aittama | Social Worker | 10611 Nw State Road 20, Bristol, FL 32321-3441 | 2020-10-21 |
| 1144828856 | Joshua Zinz Ginsburg | Social Worker | 10611 Florida Highway 20, Bristol, FL 32321 | 2020-10-14 |
| 1124646708 | Melanie Klinck | Social Worker | 225 N Main St Ste 106, Bristol, CT 06010-4993 | 2020-07-09 |
| Find all providers in BRISTOL | ||||
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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.