SHARONDA RENEE MOUTON


Address: 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007
Phone: 4098535725

SHARONDA RENEE MOUTON (NPI# 1265046726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265046726
Entity Type Individual
Full Name SHARONDA RENEE MOUTON
Credential LMSW
Practice Address 2555 Jimmy Johnson Blvd
Port Arthur
TX 77640-2007
Mailing Address Po Box 12268
Beaumont
TX 77726-2268
Practice Telephone 4098535725
Enumeration Date 2020-09-02
Last Update Date 2020-09-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker 52251 TX Behavioral Health & Social Service Providers

Office Location

Street Address 2555 JIMMY JOHNSON BLVD
City PORT ARTHUR
State TX
Zip Code 77640-2007

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861467573 The Medical Center of Southeast Texas Lp Clinic/Center 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 2006-02-17
1164031258 Julie Vuong Tran Registered Nurse 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 2020-07-24
1639798374 Diem Vo Student in an Organized Health Care Education/Training Program 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 2020-04-13
1447731955 Donna Larkins Mitchell Nurse Practitioner 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 2018-08-23
1598252413 Jennifer Ann Wilson Specialist/Technologist, Other 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 2018-04-16
1598264616 Connor Patrick O'shaughnessy Dietitian, Registered 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 2018-02-04
1093213555 Stephanie Rae Dodson Dietitian, Registered 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640 2018-01-30
1447767819 Shannon Huebel Keith Nurse Practitioner 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 2018-01-06
1598271405 Millennium Neonatolgy Pllc Pediatrics 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 2017-12-15
1336659044 Darla Denise Booth Specialist/Technologist, Other 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 2017-10-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275031676 Grupo Segovia Sc Specialist 101 Calle Primera Sur, Adolfo Lopez Mateos, Cozumel, QUINTANA ROO 77640 2018-01-31
1811495575 Total Care Medical, Pllc Clinic/Center 8035 Memorial Blvd Ste B, Port Arthur, TX 77640 2018-01-29
1750805586 Bv Continuing Care Center Ltd. Co. Skilled Nursing Facility 8595 Medical Center Blvd., Port Arthur, TX 77640 2017-08-02
1053840561 Centro Medico De Cozumel Sa De Cv General Acute Care Hospital Calle 1ra Sur No. 101 Adolfo Lopez Mateo, Cozumel, QUINTANA ROO 77640 2017-06-08
1306391719 Hector Trevino Dentist 2780 Fm 365, Port Arthur, TX 77640 2016-08-16
1316325616 Gulfside Dental Port Arthur Pllc Dentist 2780 Hwy 365, Suite C, Port Arthur, TX 77640 2015-05-07
1962894782 Chris Hale Specialist/Technologist, Other 6361 Katy Av, Port Arthur, TX 77640 2015-03-03
1396157681 Jack 1 Foundation Inc. Day Training, Developmentally Disabled Services 235 Procter St., Port Arthur, TX 77640 2014-05-21
1205275054 Gulf Coast Health Center, Inc Clinic/Center 601 Rev Ransom Howard, Bldg B, Port Arthur, TX 77640 2013-06-14
1285909432 Costamed General Acute Care Hospital Calle Primera Sur No. 101, Cozumel, QR 77640 2012-03-20
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Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265493050 Samaritan Counseling Center of Southeast Texas Social Worker 3747 Doctors Dr, Port Arthur, TX 77642-5555 2006-03-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871194753 Jennifer Renee Miller Social Worker 4645 Plano Pkwy Apt 9303, Carrollton, TX 75010-4963 2020-11-05
1518568146 Chanieka Dominique Williams Social Worker 12101 Fondren Rd Apt 1210, Houston, TX 77035-4034 2020-11-02
1790385052 Phoebe Mikelle Rankin Social Worker 904 Sirocco Dr Unit A, Austin, TX 78745-3859 2020-10-27
1578162574 Adriane Denise Watters Social Worker 5648 Comer Dr, Fort Worth, TX 76134-2206 2020-10-21
1184223414 Tiffany Jewell Murphy Social Worker 29322 Legends Line Dr, Spring, TX 77386-3476 2020-10-19
1447858329 Blooming Tulips-therapy and Consulting, Pllc Social Worker 16350 Ella Blvd Apt 914, Houston, TX 77090-7309 2020-10-13
1780282814 Linnea Robison Social Worker 3510 Fm 2076, Crockett, TX 75835-7013 2020-10-12
1992303044 Lindsay Luongo Social Worker 612 W 22nd St, Austin, TX 78705-5104 2020-10-12
1932706207 Laquita L Smith Social Worker 3706 Oriole Dr, Mission, TX 78572-4895 2020-10-08
1427655703 Gilbert Edward Guerrero Social Worker 13747 Montfort Dr, Dallas, TX 75240-4454 2020-10-08
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Competitor

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City PORT ARTHUR
Zip Code 77640

Improve Information

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Dataset Information

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.

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