MISS RUTH MARIE SHALLEY (NPI# 1265471197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265471197 |
Entity Type | Individual |
Full Name | MISS RUTH MARIE SHALLEY |
Credential | LCSW |
Practice Address |
308 Medic Way Greencastle IN 46135-2296 |
Mailing Address |
156 Andrews Blvd Plainfield IN 46168-9769 |
Practice Telephone | 7656532669 |
Practice Fax Number | 7656538671 |
Mailing Telephone | 3173712302 |
Mailing Fax Number | 7656538671 |
Enumeration Date | 2006-06-06 |
Last Update Date | 2007-07-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
34004443A | IN | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | ANTHEM BCBS PROVIDER PIN | 000000207865 | 01 |
Street Address |
308 MEDIC WAY |
City | GREENCASTLE |
State | IN |
Zip Code | 46135-2296 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013965839 | Melanie Gibbs | Social Worker | 308 Medic Way, Greencastle, IN 46135-2296 | 2006-05-04 |
1033723135 | Erica Bostic | Social Worker | 308 Medic Way, Greencastle, IN 46135-2296 | 2020-09-04 |
1245855329 | Katherine E Richards | Social Worker | 308 Medic Way, Greencastle, IN 46135-2296 | 2020-06-15 |
1487298733 | Dakota Hartz | Social Worker | 308 Medic Way, Greencastle, IN 46135-2296 | 2019-10-30 |
1568020840 | Sarah Lyn Hanlon | Social Worker | 308 Medic Way, Greencastle, IN 46135-2296 | 2019-06-03 |
1477111060 | Madelin Judith Biddle | Social Worker | 308 Medic Way, Greencastle, IN 46135-2296 | 2019-05-30 |
1811551377 | Halie Davis | Social Worker | 308 Medic Way, Greencastle, IN 46135-2296 | 2019-04-30 |
1144797333 | Danielle N Cummings | Counselor | 308 Medic Way, Greencastle, IN 46135-2296 | 2018-10-26 |
1346778800 | Zachary Ryan Litherland | Social Worker | 308 Medic Way, Greencastle, IN 46135 | 2017-05-30 |
1891230686 | Erin Flick | Counselor | 308 Medic Way, Greencastle, IN 46135-2296 | 2017-01-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659916260 | Virginia Kay St. John | Technician | 961 Deer Field Court, Greencastle, IN 46135 | 2019-11-07 |
1205478138 | Hannah Aker Evans | Nurse Practitioner | Putnam County Hospital, 1542 S. Bloomington St., Greencastle, IN 46135 | 2019-10-11 |
1447627757 | Dental Professionals of In, P.C. | Dentist | 1012 Mill Pond Drive Suite A, Greencastle, IN 46135 | 2015-08-24 |
1982027702 | Putnam County Auditor | Public Health or Welfare | 1542 S. Bloomington Street, Suite 1500, Greencastle, IN 46135 | 2014-01-30 |
1679871685 | Lori A Bradbury | Speech-Language Pathologist | 1014 Mill Pond Lane, Greencastle, IN 46135 | 2011-03-01 |
1346568102 | Susan Maybaum | Occupational Therapist | 98 N 10th Street, Greencastle, IN 46135 | 2010-05-04 |
1710065065 | Putnam County Comprehensive Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 914 Tennessee St, Greencastle, IN 46135 | 2006-11-02 |
1619053626 | Putnam County Comprehensive Service | Day Training, Developmentally Disabled Services | 630 Tennessee St, Greencastle, IN 46135 | 2006-10-31 |
1851474167 | Thomas Houston Black IIi | Family Medicine | 1145 Indianapolis Road, Greencastle, IN 46135 | 2006-10-23 |
1861574782 | Wal-mart Stores East, Lp | Technician/Technologist | 1750 E. Indianapolis, Greencastle, IN 46135 | 2006-10-19 |
Find all providers in zip 46135 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336606169 | Scott Adam Hamilton | Counselor | 800 S Locust St Ste 100, Greencastle, IN 46135-2052 | 2019-02-28 |
1831514827 | Ariana Cramer Langham | Counselor | 731 Ryan Ln, Greencastle, PA 17225-9504 | 2014-02-27 |
1063622439 | Paul Thomas Wilson | Counselor | 307 Simpson St, Greencastle, IN 46135-0066 | 2007-05-23 |
1447259585 | Shirl A Barker | Counselor | 239 Hillsdale Ave, Greencastle, IN 46135-1340 | 2005-07-20 |
1144797333 | Danielle N Cummings | Counselor | 308 Medic Way, Greencastle, IN 46135-2296 | 2018-10-26 |
1811367279 | Cheryl A Sears | Counselor | 50 Eastern Ave, Suite 135, Greencastle, PA 17225-1100 | 2015-09-29 |
1366787632 | William Dixon Smith | Counselor | 239 Hillsdale Ave, Greencastle, IN 46135-1340 | 2012-11-28 |
1932450665 | Regina Hildenbrand-moore | Counselor | 308 Medic Way, Greencastle, IN 46135-2296 | 2012-09-20 |
1255601217 | Carlos Edward Shrewsbury | Counselor | 308 Medic Way, Greencastle, IN 46135-2296 | 2012-01-09 |
1952605784 | Debbi Sue Straight | Counselor | 308 Medic Way, Greencastle, IN 46135-2296 | 2011-01-10 |
Find all providers in GREENCASTLE |
City | GREENCASTLE |
Zip Code | 46135 |
Please comment or provide details below to improve the information on MISS RUTH MARIE SHALLEY.
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.