SHANNON MOSKITIS (NPI# 1144672635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144672635 |
| Entity Type | Individual |
| Full Name | SHANNON MOSKITIS |
| Practice Address |
204 10th Ave S Nampa ID 83651-3832 |
| Mailing Address |
3215 W Targee St Boise ID 83705-3347 |
| Practice Telephone | 6198504871 |
| Mailing Telephone | 2082987787 |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2020-10-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW-40108 | ID | Behavioral Health & Social Service Providers |
| Street Address |
204 10TH AVE S |
| City | NAMPA |
| State | ID |
| Zip Code | 83651-3832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700824265 | Kenneth Swaim | Chiropractor | 204 10th Ave S, Nampa, ID 83651-3832 | 2006-06-04 |
| 1174146567 | Stacy Leigh Sekercan | Social Worker | 204 10th Ave S, Nampa, ID 83651-3832 | 2020-05-20 |
| 1023670122 | Cassidi Lynnette Klimek | Counselor | 204 10th Ave S, Nampa, ID 83651-3832 | 2019-06-28 |
| 1346702008 | Kim Hegg James | Social Worker | 204 10th Ave S, Nampa, ID 83651-3832 | 2019-04-02 |
| 1215411038 | Allysa Kay Sobotta | Social Worker | 204 10th Ave S, Nampa, ID 83651-3832 | 2018-09-18 |
| 1255854907 | Andrew Geske | Social Worker | 204 10th Ave S, Nampa, ID 83651-3832 | 2017-07-24 |
| 1003281494 | Lyndzee Johnson | Social Worker | 204 10th Ave S, Nampa, ID 83651-3832 | 2015-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376090985 | Stephen Michael Wren | Physician Assistant | 11035 W Karcher Rd, Nampa, ID 83651 | 2016-09-01 |
| 1104203157 | Jeremy Thorson | Social Worker | 456 West Orchard Ave., Apt D305, Nampa, ID 83651 | 2015-04-29 |
| 1134527708 | Community Health Clinics Inc | Clinic/Center | 207 1st Street S, Nampa, ID 83651 | 2014-12-15 |
| 1326455429 | Michelle Murchie | Pharmacist | 175 S. Middleton Rd, Nampa, ID 83651 | 2014-07-21 |
| 1700215373 | Stanley A Gillett | Chiropractor | 107 14th Ave S, Nampa, ID 83651 | 2013-11-04 |
| 1477996205 | James L Fries | Counselor | 847 Park Centre Way, Suite 5, Nampa, ID 83651 | 2013-04-11 |
| 1023367240 | Erin Westfall | Speech-Language Pathologist | 168 Mcclure Avenue, Nampa, ID 83651 | 2012-09-04 |
| 1487949475 | Erik Steven Linn | Family Medicine | 11035 W. Karcher Road, Nampa, ID 83651 | 2011-06-17 |
| 1720398647 | At Your Service Home Health Care LLC | In Home Supportive Care | 321 2nd St S Ste 103, Nampa, ID 83651 | 2010-10-13 |
| 1144544206 | Petra Morrison | Community/Behavioral Health | 1031 W. Sanetta St., Nampa, ID 83651 | 2010-03-18 |
| Find all providers in zip 83651 | ||||
| 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 |
|---|---|---|---|---|
| 1912542184 | Angela Smith | Social Worker | 1305 2nd St S Ste 201, Nampa, ID 83651-3964 | 2019-11-12 |
| 1770946691 | April Knie Auker | Social Worker | 620 W Boone Ave, Nampa, ID 83651-1903 | 2016-03-29 |
| 1346600723 | Lisa Harrison | Social Worker | 407 N Sherwood Dr, Nampa, ID 83651-1865 | 2016-02-29 |
| 1902203755 | Deanna Mae Mullins | Social Worker | 1170 E Sharons Way Apt 104, Nampa, ID 83686-6059 | 2014-11-21 |
| 1427490721 | Kimberly Trehal | Social Worker | 2515 Klamath Ct, Nampa, ID 83686-7935 | 2013-07-27 |
| 1952642985 | Robert L Condon | Social Worker | 1023 Augusta Dr, Nampa, ID 83686-2863 | 2013-03-15 |
| 1295076347 | Leann Rene Stensgaard | Social Worker | 2404 S Morning Sun Ct, Nampa, ID 83686-4918 | 2013-03-13 |
| 1194078139 | Nicole Scott | Social Worker | 1002 W Sanetta St, Nampa, ID 83651-5047 | 2012-10-15 |
| 1083983514 | Jeffrey Ryan Moreno | Social Worker | 5700 E Franklin Rd Ste 250, Nampa, ID 83687-7902 | 2011-12-29 |
| 1205121084 | Jeri Lyn Perkins | Social Worker | 1603 12th Ave Rd Ste B, Nampa, ID 83686 | 2011-06-09 |
| Find all providers in NAMPA | ||||
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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.