SHELLEY L PUCCI (NPI# 1154593861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154593861 |
| Entity Type | Individual |
| Full Name | SHELLEY L PUCCI |
| Credential | LICSW |
| Practice Address |
3100 W Lake St Ste 210 Minneapolis MN 55416-4527 |
| Practice Telephone | 6129256033 |
| Practice Fax Number | 6129258496 |
| Mailing Telephone | 6129256033 |
| Mailing Fax Number | 6129258496 |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2012-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
14156 | MN | Behavioral Health & Social Service Providers |
| Street Address |
3100 W LAKE ST STE 210 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55416-4527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417957101 | Ronald James Frederick Jr. | Psychologist | 3100 W Lake St, Suite 107, Minneapolis, MN 55416-4527 | 2005-07-26 |
| 1235665761 | Nicole Massey | Marriage & Family Therapist | 3100 W Lake St, Suite 210, Minneapolis, MN 55416-4527 | 2017-05-03 |
| 1760923940 | Lynn Erika Penney | Counselor | 3100 W Lake St, Suite 210, Minneapolis, MN 55416-4527 | 2017-03-20 |
| 1629526405 | Ariel Brinson | Social Worker | 3100 W Lake St, Suite 210, Minneapolis, MN 55416-4527 | 2016-09-21 |
| 1952855918 | Roberta Ann Seelen-wolf | Registered Nurse | 3100 W Lake St, 210, Minneapolis, MN 55416-4527 | 2016-08-08 |
| 1619420817 | Julie Blatz | Social Worker | 3100 W Lake St, Suite 210, Minneapolis, MN 55416-4527 | 2016-07-25 |
| 1750736708 | Kiana Joyner | Social Worker | 3100 W Lake St, Suite 210, Minneapolis, MN 55416-4527 | 2016-04-27 |
| 1427415082 | Natalie Ann Tobeck | Social Worker | 3100 W Lake St, Suite 210, Minneapolis, MN 55416-4527 | 2016-01-26 |
| 1598132953 | Amanda J Ardolf | Counselor | 3100 W Lake St, Ste 210, Minneapolis, MN 55416-4527 | 2015-09-01 |
| 1578930293 | Leeann Catherine Lewis | Social Worker | 3100 W Lake St, Ste 210, Minneapolis, MN 55416-4527 | 2015-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
| 1598307860 | Ayman Abulaziz Mohamed | Counselor | 4326 Park Glen Rd, St Louis Park, MN 55416 | 2019-10-08 |
| 1831758929 | Ally Group Homes LLC | Assisted Living Facility | 2944 Princeton Ave South, Saint Louis Park, MN 55416 | 2019-06-11 |
| 1609371525 | Heather Margaret Flatgard | Chiropractor | 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 | 2018-03-25 |
| 1942702394 | Polaris Pharmacy Services of Minnesota, LLC | Pharmacy | 4220 Park Glen Road, St. Louis Park, MN 55416 | 2018-03-01 |
| 1316469760 | Evert Ray Boyd | Psychologist | 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 | 2017-07-07 |
| 1861941684 | Amanda Marie Tapper | Marriage & Family Therapist | 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 | 2016-09-22 |
| 1326410416 | Clear Health Chiropractic LLC | Chiropractor | 5614 W 36th St, St. Louis Park, MN 55416 | 2015-10-28 |
| 1568897833 | Kay Elizabeth Lichtenberger | Physical Therapist | 4415 W 36.5 St, St. Louis Park, MN 55416 | 2013-09-05 |
| 1710221510 | Aaron Christopher Oppelt | Counselor | 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 | 2012-11-16 |
| Find all providers in zip 55416 | ||||
| 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 |
|---|---|---|---|---|
| 1811597784 | Nadia Sullivan | Social Worker | 250 S 4th St # 510, Minneapolis, MN 55415-1321 | 2020-10-29 |
| 1972102580 | Grace Christine Haugen | Social Worker | 3408 18th Ave S, Minneapolis, MN 55407-2779 | 2020-10-23 |
| 1629677422 | Tracy Flanagan Lewis | Social Worker | 410 E 48th St # 5, Minneapolis, MN 55419-5651 | 2020-10-22 |
| 1093312985 | Concord Psychotherapy Inc. | Social Worker | 4749 Chicago Ave Ste 1b, Minneapolis, MN 55407-4181 | 2020-10-05 |
| 1376167056 | Jennifer Hooyman | Social Worker | 3126 Cleveland St Ne, Minneapolis, MN 55418-2330 | 2020-05-29 |
| 1649893777 | Sarah Slathar | Social Worker | 2511 Grand St Ne # 2, Minneapolis, MN 55418-3318 | 2020-05-23 |
| 1811510332 | Madison Keel Peton | Social Worker | 825 Nicollet Mall Ste 455, Minneapolis, MN 55402-2606 | 2020-05-19 |
| 1538789474 | Mackenzie Landbloom | Social Worker | 825 S 8th St Ste 400, Minneapolis, MN 55404-1216 | 2020-04-21 |
| 1568090462 | Paul Samuel Schuster | Social Worker | 3249 Hennepin Ave Ste 258, Minneapolis, MN 55408-3993 | 2020-03-28 |
| 1053947077 | Natalie Jean Taber | Social Worker | 1645 Hennepin Ave Ste 221, Minneapolis, MN 55403-1701 | 2020-03-21 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55416 |
Please comment or provide details below to improve the information on SHELLEY L PUCCI.
| 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.