MRS. SUSAN M SHEPHERD (NPI# 1154303410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154303410 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN M SHEPHERD |
| Credential | LCSW |
| Practice Address |
1726 Kingsley Ave Ste 3 Orange Park FL 32073-4463 |
| Practice Telephone | 9042645251 |
| Practice Fax Number | 9042699972 |
| Mailing Telephone | 9042645251 |
| Mailing Fax Number | 9042699972 |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW1462 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043304231 | Susan J Shepherd | Social Worker | 22 Whipple St, Brattleboro, VT 05301-6080 | 2006-10-03 |
| 1356844815 | Susan Shepherd | Speech-Language Pathologist | 1413 Laskin Rd, Virginia Beach, VA 23451-6007 | 2018-03-12 |
| 1265832836 | Susan Shepherd | Nurse Practitioner | 307 E New Haven Ave, Suite 1, Melbourne, FL 32901-4576 | 2014-09-02 |
| 1699192542 | Susan Shepherd | Social Worker | 8950 Villa La Jolla Dr, Suite C-207, La Jolla, CA 92037-1714 | 2014-03-27 |
| 1386744340 | Susan C Shepherd | Advanced Practice Midwife | 2 Medical Center Dr, Suite 204, Springfield, MA 01107-1270 | 2006-09-22 |
| 1316046246 | Susan M Shepherd | Pediatrics | 445 Centennial Ave, Butte, MT 59701-2870 | 2006-09-21 |
| Street Address |
1726 KINGSLEY AVE STE 3 |
| City | ORANGE PARK |
| State | FL |
| Zip Code | 32073-4463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740892355 | Allison Tharaldsen | Case Manager/Care Coordinator | 1726 Kingsley Ave, Orange Park, FL 32073-4463 | 2020-08-17 |
| 1245662832 | Tia Wilson | Counselor | 1726 Kingsley Ave, Orange Park, FL 32073 | 2013-08-06 |
| 1376887315 | Ronny W Stephens | Counselor | 1726 Kingsley Ave, Suite 2, Orange Park, FL 32073-4463 | 2012-11-15 |
| 1427353150 | Janet M Grim Ma Lmft | Marriage & Family Therapist | 1726 Kingsley Ave, Suite 3, Orange Park, FL 32073 | 2011-01-11 |
| 1134276140 | J Nicholas Prewett Phd & Associates Pa | Counselor | 1726 Kingsley Ave, Suite 12, Orange Park, FL 32073-4463 | 2007-01-04 |
| 1972539690 | Johann Nicholas Prewett | Psychologist | 1726 Kingsley Ave, Suite 12, Orange Park, FL 32073-4463 | 2006-06-24 |
| 1023090388 | Janet Mccullough Grim | Marriage & Family Therapist | 1726 Kingsley Ave, Suite 3, Orange Park, FL 32073 | 2005-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309423 | Kingsley Endoscopy Center LLC | Clinic/Center | 970 Kingsley Avenue, Orange Park, FL 32073 | 2020-09-01 |
| 1962028688 | Esra Sari | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue., Orange Park Medical Center, Orange Park, FL 32073 | 2020-06-18 |
| 1104441146 | Zeshan Tariq Malik | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue, Office of Graduate Medical Educa, Orange Park, FL 32073 | 2020-06-16 |
| 1902421894 | Ameer Hamza | Student in an Organized Health Care Education/Training Program | 2001, Kingsley Avenue Office of Graduate Medical Educat, Orange Park, FL 32073 | 2020-06-16 |
| 1497378103 | Fawad Ahmed Rashid | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue Office of Graduate Medical Educati, Orange Park, FL 32073 | 2020-05-28 |
| 1477174985 | Hannan Asghar | Student in an Organized Health Care Education/Training Program | Office of Graduate Medical Education 2001 Kingsley, Orange Park, FL 32073 | 2020-05-06 |
| 1902427156 | Emmanuel Iyanuloluwa Morakinyo | Student in an Organized Health Care Education/Training Program | 413 Deer View Avenue, 2001 Kingsley Ave, Orange Park, FL 32073 | 2020-04-29 |
| 1437799327 | Dalande Leger | Behavior Technician | 1563 Kingsley Ave Suite 103, Orange Park, FL 32073 | 2020-01-08 |
| 1215598313 | Mohammad Harisullah Khan | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Ave, Gme Office, Orange Park, FL 32073 | 2019-06-28 |
| 1558927970 | Preetha Kamath | Student in an Organized Health Care Education/Training Program | Orange Park Medical Center, 2001 Kingsley Ave, Orange Park, FL 32073 | 2019-05-10 |
| Find all providers in zip 32073 | ||||
| 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 |
|---|---|---|---|---|
| 1164058517 | Chelsey Linn Jones | Social Worker | 971 Sweetwood Ct, Orange Park, FL 32065-8943 | 2020-03-18 |
| 1689207243 | Edwin Hannah | Social Worker | 43 Knight Boxx Rd Ste 1, Orange Park, FL 32065-7395 | 2020-02-21 |
| 1275187114 | Lakeisha Barris | Social Worker | 3107 Fox Squirrel Dr, Orange Park, FL 32073-7656 | 2019-07-29 |
| 1467913764 | Cheryl King Counseling | Social Worker | 752 Blanding Blvd Ste 123, Orange Park, FL 32065-5789 | 2019-03-28 |
| 1588149223 | April S Howell | Social Worker | 1543 Kingsley Ave Ste 18a, Orange Park, FL 32073-4568 | 2018-09-28 |
| 1063950731 | Domonique Jackson | Social Worker | 752 Blanding Blvd Ste 130, Orange Park, FL 32065-5790 | 2017-02-02 |
| 1386198430 | Whitney Kelly | Social Worker | 573 Oakleaf Plantation Pkwy, Orange Park, FL 32065-3590 | 2016-08-06 |
| 1073942991 | Joy L. Dozier Smith | Social Worker | 1363 Akron Oaks Drive, Orange Park, FL 32065 | 2013-11-01 |
| 1417385998 | From Chains To Glory Enterprise | Social Worker | 1363 Akron Oaks Dr, Orange Park, FL 32065-4274 | 2013-10-21 |
| 1578847174 | Timothy Albro | Social Worker | 1532 Kingsley Ave Ste 112, Orange Park, FL 32073-4536 | 2011-10-03 |
| Find all providers in ORANGE PARK | ||||
| City | ORANGE PARK |
| Zip Code | 32073 |
Please comment or provide details below to improve the information on MRS. SUSAN M SHEPHERD.
| 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.