SHANNON ELAINE MOORE (NPI# 1245603315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245603315 |
| Entity Type | Individual |
| Full Name | SHANNON ELAINE MOORE |
| Credential | LCSW-C |
| Practice Address |
120 Sister Pierre Dr Towson MD 21204-7516 |
| Mailing Address |
4436 Silver Teal Rd Baltimore MD 21236-2966 |
| Practice Telephone | 4103379441 |
| Mailing Telephone | 4435313890 |
| Enumeration Date | 2015-11-11 |
| Last Update Date | 2015-11-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
21229 | MD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043825565 | Shannon Roberta Moore | In Home Supportive Care | 5686 Broadview Rd Apt 2520, Parma, OH 44134-1647 | 2020-09-11 |
| 1033764055 | Shannon Moore | Physical Therapist | 235 Open Sky Way, Kila, MT 59920-7700 | 2019-08-06 |
| 1770006660 | Shannon Moore | Optometrist | 340 Wood Rd Ste 2020, Braintree, MA 02184-2404 | 2017-07-21 |
| 1316327851 | Shannon Moore | Technician, Other | 24837 Princeton St, Dearborn, MI 48124-4457 | 2015-05-30 |
| 1659713071 | Shannon Lori Moore | Dietitian, Registered | 1114 Thomasville Rd Ste G, Tallahassee, FL 32303-6273 | 2013-07-26 |
| 1326388893 | Shannon Michelle Moore | Developmental Therapist | 340 Ralley Rd, Keavy, KY 40737-2729 | 2013-02-21 |
| 1639414345 | Shannon L Moore | Licensed Practical Nurse | 1235 3rd Street, Sedro-woolley, WA 98284 | 2012-12-06 |
| 1669767208 | Shannon M Moore | Pharmacist | 80 Baker St, Richmond, VT 05477-7750 | 2011-06-11 |
| 1154636611 | Shannon Monique Moore | Psychologist | 1675 Lakeland Dr Ste 304, Jackson, MS 39216 | 2010-08-09 |
| 1689630246 | Shannon Jessica Moore | Optometrist | 528 Waterloo Rd, Warrenton, VA 20186-3011 | 2006-04-24 |
| Street Address |
120 SISTER PIERRE DR |
| City | TOWSON |
| State | MD |
| Zip Code | 21204-7516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538162078 | John Richard Bacon | Allergy & Immunology | 120 Sister Pierre Dr, Ste 201, Towson, MD 21204-7525 | 2005-05-28 |
| 1699183780 | Main Street Children's Dentistry and Orthodontics of Towson LLC | Dentist | 120 Sister Pierre Dr, 502, Towson, MD 21204-7516 | 2014-08-01 |
| 1912315920 | Shelby Schestag | Counselor | 120 Sister Pierre Dr, Towson, MD 21204-7516 | 2014-07-23 |
| 1104255702 | Sally Habib, M.d.,llc | Internal Medicine | 120 Sister Pierre Dr, Suite 306, Towson, MD 21204-7516 | 2013-11-04 |
| 1174882153 | Erin Rae Tancemore | Social Worker | 120 Sister Pierre Dr, Suite 407, Towson, MD 21204-7516 | 2012-05-10 |
| 1841576626 | Ping Chen | Dentist | 120 Sister Pierre Dr, Suite 301, Towson, MD 21204-7516 | 2011-10-25 |
| 1669779997 | Mahin Shamszad Md PC | Internal Medicine | 120 Sister Pierre Dr, Suite 405, Towson, MD 21204-7516 | 2011-02-23 |
| 1023330792 | Michael O. Magan Md Pa | Obstetrics & Gynecology | 120 Sister Pierre Dr, Suite 303, Towson, MD 21204-7516 | 2010-02-23 |
| 1952533754 | Susie N. Chung, M.d., P.a. | Obstetrics & Gynecology | 120 Sister Pierre Dr, Ste. 303, Towson, MD 21204-7516 | 2009-08-13 |
| 1275768954 | Dawn W Grow | Counselor | 120 Sister Pierre Dr, Towson, MD 21204-7516 | 2009-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194347575 | Sheppard Pratt Non Contracted Services, LLC | Psychiatry & Neurology | 6525 N. Charles Street, Gibson Building, Towson, MD 21204 | 2020-05-08 |
| 1578104428 | Debra James | Counselor | 6901 N. Charles Street, Towson, MD 21204 | 2019-10-02 |
| 1235696808 | Sarita Hinton | Social Worker | 300 Allegheny Ave Ste 101, Baltimore, MD 21204 | 2019-03-01 |
| 1952883159 | Peace,llc | Social Worker | 304 W. Chesapeake Ave, Towson, MD 21204 | 2018-09-04 |
| 1841772654 | Hannah Kimberly Jefferson | Acupuncturist | 7407 York Road, Towson, MD 21204 | 2018-08-29 |
| 1699255216 | Samantha Ann Rogers | Nurse Practitioner | 222 Bosley Avenue, Suite C3, Towson, MD 21204 | 2018-08-14 |
| 1750867560 | Angela Michelle Hester | Nurse Practitioner | 6525 N Charles St #085, Towson, MD 21204 | 2018-07-15 |
| 1043729098 | Communication Apptitude Inc. | Speech-Language Pathologist | 7400 York Road, Suite 231, Towson, MD 21204 | 2017-09-21 |
| 1679090203 | Brian Dougherty | Acupuncturist | 800 Kenilworth Dr, Ste# 828, Towson, MD 21204 | 2017-08-24 |
| 1659891976 | Erin Mcgovern | Specialist/Technologist | Towson Sports Medicine 8322 Bellona Ave, Suite Number 100, Baltimore, MD 21204 | 2017-06-27 |
| Find all providers in zip 21204 | ||||
| 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 |
|---|---|---|---|---|
| 1689296741 | Abigail Taylor | Social Worker | 1004 Malvern Ave, Towson, MD 21204-6715 | 2020-05-12 |
| 1356962807 | Fleurette Fougere Forbes | Social Worker | 707 York Rd Apt 3123, Towson, MD 21204-2873 | 2020-05-06 |
| 1356983134 | Felicia Alston James | Social Worker | 521 E Joppa Rd Ste 204a, Towson, MD 21286-1807 | 2019-10-12 |
| 1952964470 | Perissos Therapy LLC | Social Worker | 28 E Susquehanna Ave Ste 205, Towson, MD 21286-5218 | 2019-04-19 |
| 1952883159 | Peace,llc | Social Worker | 304 W. Chesapeake Ave, Towson, MD 21204 | 2018-09-04 |
| 1447730668 | Timothy Francis Dunnigan | Social Worker | 600 Washington Ave Ste 100, Towson, MD 21204-1303 | 2018-08-16 |
| 1609369438 | Robert Edward Reichhelm | Social Worker | 120 Sister Pierre Dr Ste 204, Towson, MD 21204-7525 | 2018-06-06 |
| 1942700299 | Helaina Brown Ebling | Social Worker | 26 Stone Manor Ct, Towson, MD 21204-4348 | 2018-02-13 |
| 1285141762 | Dionne Coleman | Social Worker | 100 E Pennsylvania Ave Ste 202, Towson, MD 21286-0700 | 2018-01-05 |
| 1265960603 | Amaris Watson Gale | Social Worker | 320 E Towsontown Blvd Ste 2w, Towson, MD 21286-5318 | 2017-05-30 |
| Find all providers in TOWSON | ||||
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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.