MILA L SHANK (NPI# 1154544591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154544591 |
| Entity Type | Individual |
| Full Name | MILA L SHANK |
| Credential | LCSW |
| Practice Address |
530 Soquel Ave Santa Cruz CA 95062-2301 |
| Practice Telephone | 8314267324 |
| Practice Fax Number | 8314262803 |
| Mailing Telephone | 8314267324 |
| Mailing Fax Number | 8314262803 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2011-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCS 26102 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PARENTS CENTER | #44A5 | 01 |
| CA | SANTA CRUZ COUNTY MEDICARE GROUP PTAN# | ZZZ91892Z | 01 |
| Street Address |
530 SOQUEL AVE |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95062-2301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083737167 | Parents Center | Community/Behavioral Health | 530 Soquel Ave, Santa Cruz, CA 95062-2301 | 2007-04-06 |
| 1104382258 | Courtney Ruth Peixoto De Melo | Counselor | 530 Soquel Ave, Santa Cruz, CA 95062-2301 | 2019-02-13 |
| 1356824619 | Suzanne O Koebler | Counselor | 530 Soquel Ave, Santa Cruz, CA 95062-2301 | 2018-09-12 |
| 1780046979 | Carrie Likeness | Marriage & Family Therapist | 530 Soquel Ave, Santa Cruz, CA 95062-2301 | 2016-03-25 |
| 1568821684 | Celia Goeckermann | Marriage & Family Therapist | 530 Soquel Ave, Santa Cruz, CA 95062-2301 | 2016-02-17 |
| 1649658980 | Marisa Morris | Marriage & Family Therapist | 530 Soquel Ave, Santa Cruz, CA 95062-2301 | 2015-05-06 |
| 1053701623 | Reymundo Perez Jr. | Counselor | 530 Soquel Ave, Santa Cruz, CA 95062-2301 | 2015-02-03 |
| 1255755401 | Stephanie G Cook | Counselor | 530 Soquel Ave, Santa Cruz, CA 95062-2301 | 2014-02-07 |
| 1295010759 | Mary Jo Bumstead | Counselor | 530 Soquel Ave, Santa Cruz, CA 95062-2301 | 2011-10-17 |
| 1417246984 | Rebecca A Chicoine | Counselor | 530 Soquel Ave, Santa Cruz, CA 95062-2301 | 2011-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730706698 | Laura Lynn Rabb-jancola | Home Health | 275 Lake Ave #8, Santa Cruz, CA 95062 | 2020-06-26 |
| 1043792740 | New Life Community Services, Inc | Substance Abuse Rehabilitation Facility | 521 Capitola Rd Ext, Santa Cruz, CA 95062 | 2018-08-30 |
| 1780180380 | Philips Patton | Acupuncturist | 129 Dake Ave, Santa Cruz, CA 95062 | 2018-04-03 |
| 1477069896 | Wei Jiang | Acupuncturist | 1099 38th Ave #46, Santa Cruz, CA 95062 | 2017-12-21 |
| 1336679885 | Camm Nelsen | Counselor | 200 7th Avenue. Suite 150, Santa Cruz, CA 95062 | 2017-06-18 |
| 1639601784 | Catharine Lee Sheets | Registered Nurse | 21507 East Cliff Drive, Santa Cruz, CA 95062 | 2017-03-29 |
| 1972968857 | Brenda M. Williams | Counselor | 941 Eldorado Ave, Santa Cruz, CA 95062 | 2015-12-21 |
| 1124490347 | Emily Fittante | Social Worker | 343 Soquel Ave #195, Santa Cruz, CA 95062 | 2015-10-27 |
| 1578935839 | Jennifer Langon, Lmft | Community/Behavioral Health | 5905 Soquel Ave Suite 400, Aptos, CA 95062 | 2015-10-27 |
| 1255718581 | Joanne Gramo | Acupuncturist | 316a Oceanview Ave., Santa Cruz, CA 95062 | 2015-05-06 |
| Find all providers in zip 95062 | ||||
| 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 |
|---|---|---|---|---|
| 1023621067 | Adiari Torres | Social Worker | 402 Dakota Ave Apt 8, Santa Cruz, CA 95060-4122 | 2020-08-28 |
| 1487273645 | Victoria Jeanne Dzorka | Social Worker | 125 Water St Ste A2, Santa Cruz, CA 95060-2786 | 2020-04-08 |
| 1245876002 | Steven C Weiss | Social Worker | 1740 17th Ave, Santa Cruz, CA 95062-1804 | 2019-11-26 |
| 1528610581 | Melanie Jayne Stern | Social Worker | 429 Continental St, Santa Cruz, CA 95060-6070 | 2019-07-10 |
| 1902466469 | Neil David Brown | Social Worker | 550 Water St Ste D2, Santa Cruz, CA 95060-4129 | 2019-06-17 |
| 1659851525 | Vincent J Oviedo | Social Worker | 103 Auburn Ave, Santa Cruz, CA 95060-6231 | 2018-08-20 |
| 1124490347 | Emily Fittante | Social Worker | 343 Soquel Ave #195, Santa Cruz, CA 95062 | 2015-10-27 |
| 1952788861 | Jodi Mulder | Social Worker | 903 Pacific Ave Ste 200, Santa Cruz, CA 95060-4461 | 2015-04-29 |
| 1073903050 | Christina O'halloran | Social Worker | 143 Stockton Ave, Santa Cruz, CA 95060-6219 | 2015-01-29 |
| 1972900538 | Katrina Tattenham | Social Worker | 1200 Capitola Rd Apt 21, Santa Cruz, CA 95062-2945 | 2014-11-25 |
| Find all providers in SANTA CRUZ | ||||
| City | SANTA CRUZ |
| Zip Code | 95062 |
Please comment or provide details below to improve the information on MILA L SHANK.
| 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.