MS. SHANNON S SMITH (NPI# 1285839530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285839530 |
| Entity Type | Individual |
| Full Name | MS. SHANNON S SMITH |
| Practice Address |
2500 Fairmont Dr San Leandro CA 94578-1006 |
| Practice Telephone | 5106673290 |
| Mailing Telephone | 5106673290 |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2010-09-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCS24641 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568203 | Shannon Smith | Counselor | 99 Huckleberry Ct, Three Bridges, NJ 08887-2109 | 2020-11-08 |
| 1821603267 | Shannon Alexandria Smith | Dietitian, Registered | 20621 Ne 1st Ct, Miami, FL 33179-1702 | 2020-09-12 |
| 1790316040 | Shannon Machelle Smith | Nurse Practitioner | 7705 Happy Hollow Dr, Mint Hill, NC 28227-8518 | 2020-01-27 |
| 1750925392 | Shannon Joy Smith | Nurse Practitioner | 152 Pearson Rd, Greer, SC 29651-7146 | 2019-11-06 |
| 1104308014 | Shannon Lynn Smith | Massage Therapist | 15131 Northville Rd, Plymouth, MI 48170-2548 | 2018-09-06 |
| 1548747181 | Shannon Marie Smith | Psychologist | 146 2nd St N Ste 305, Saint Petersburg, FL 33701-3361 | 2018-07-26 |
| 1942726393 | Shannon Elizabeth Smith | Counselor | 3535 S Sherwood Forest Blvd Ste 227, Baton Rouge, LA 70816-2255 | 2017-08-17 |
| 1043749450 | Shannon Michelle Smith | Marriage & Family Therapist | 707 W 5th Ave Apt 1116, Spokane, WA 99204-2780 | 2017-06-08 |
| 1033640644 | Shannon Elizabeth Smith | Social Worker | 212 W Red Bridge Rd, Kansas City, MO 64114-5136 | 2017-03-24 |
| 1518311240 | Shannon Kathleen Smith | Licensed Practical Nurse | 9040 Jackson Avenue, Attn Mchk-clq-c, Madigan Army Medical Center, Tacoma, WA 98431-1000 | 2016-04-19 |
| Street Address |
2500 FAIRMONT DR |
| City | SAN LEANDRO |
| State | CA |
| Zip Code | 94578-1006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376646489 | Anne Deborah Rishon | Nurse Practitioner | 2500 Fairmont Dr, San Leandro, CA 94578-1005 | 2006-09-06 |
| 1962017756 | Emil Kim | Student in an Organized Health Care Education/Training Program | 2500 Fairmont Dr, San Leandro, CA 94578-1005 | 2020-09-09 |
| 1669932604 | Benito Murguia | Student in an Organized Health Care Education/Training Program | 2500 Fairmont Dr, San Leandro, CA 94578-1005 | 2019-03-25 |
| 1740798206 | Southern Alameda County Comite for Raza Mental Health | Community/Behavioral Health | 2500 Fairmont Dr, San Leandro, CA 94578-1005 | 2018-01-18 |
| 1275066938 | Evelyn Sanchez | Marriage & Family Therapist | 2500 Fairmont Dr, San Leandro, CA 94578-1005 | 2017-04-09 |
| 1053662106 | Chanadoll Quanisha Garrett | Student in an Organized Health Care Education/Training Program | 2500 Fairmont Dr, San Leandro, CA 94578-1005 | 2012-09-28 |
| 1245588748 | Robin Phyllis Kinney | Counselor | 2500 Fairmont Dr, San Leandro, CA 94578-1005 | 2012-08-15 |
| 1528315306 | Bari Johnson-glass | Student in an Organized Health Care Education/Training Program | 2500 Fairmont Dr, San Leandro, CA 94578-1005 | 2012-08-10 |
| 1487915815 | Sonia Burns Reardon | Student in an Organized Health Care Education/Training Program | 2500 Fairmont Dr, Guidance Clinic, San Leandro, CA 94578-1005 | 2012-06-01 |
| 1639444201 | Claudette Langley | Counselor | 2500 Fairmont Dr, Bhcs Guidance Clinic, San Leandro, CA 94578-1005 | 2012-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952886327 | Keyla Itzel Monroy Rodriguez | Behavioral Analyst | 900 143rd Ave, Apt 269, San Leandro, CA 94578 | 2018-10-01 |
| 1962938340 | Shaylah Rigmaiden | Counselor | 3847 E14th St, #215, San Leandro, CA 94578 | 2017-05-04 |
| 1861864449 | Laurence Tang | Pharmacist | 13847 E. 14th Street, San Leandro, CA 94578 | 2015-10-22 |
| 1902227481 | Marissa Phan | Pharmacist | 15555 E. 14th Street #400, San Leandro, CA 94578 | 2013-12-30 |
| 1629403993 | Carly Renee Lucas | Counselor | 2257 Arlington Dr., San Leandro, CA 94578 | 2013-09-05 |
| 1871933317 | Javier Huerta | Counselor | 16335 E. 14th St, San Leandro, CA 94578 | 2013-06-28 |
| 1710231717 | Farida M Ismail | Non-emergency Medical Transport (VAN) | 1601 165th Ave, 107, San Leandro, CA 94578 | 2012-10-30 |
| 1487901989 | Amanda Dupuis | Counselor | 15942 Footlhill Blvd, San Leandro, CA 94578 | 2012-08-14 |
| 1629323506 | Mei Xiu Chua | Counselor | 13666 East 14th Street, San Leandro, CA 94578 | 2012-07-17 |
| 1730445644 | Nisreen Mesiwala Kothari | Ophthalmology | 15051 Hesperian Blvd Ste A, San Leandro, CA 94578 | 2012-04-04 |
| Find all providers in zip 94578 | ||||
| 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 |
|---|---|---|---|---|
| 1316567308 | Mieke Natasche Bryant | Social Worker | 16105 Mateo St, San Leandro, CA 94578-3016 | 2020-04-20 |
| 1366931503 | Anna Kathleen Livak Hale | Social Worker | 489 Dolores Ave, San Leandro, CA 94577-5009 | 2018-05-03 |
| 1891205027 | Renee L Cage-watson | Social Worker | 933 Macarthur Blvd # 1a, San Leandro, CA 94577-3062 | 2017-10-02 |
| 1083132724 | Lea Calderon-guthe | Social Worker | 16335 E 14th St, San Leandro, CA 94578-3109 | 2017-09-01 |
| 1669993895 | Leticia Vaca | Social Worker | 2500 Merced St Ste 402, San Leandro, CA 94577-4201 | 2017-06-28 |
| 1649720061 | Nneka Wooten | Social Worker | 1271 Washington Avenue #727, It's Complicated Consultation Services, San Leandro, CA 94577-9457 | 2016-10-10 |
| 1801343454 | Joan Greenberg-abramsky | Social Worker | 13847 East 14th St Suite 215, San Leandro, CA 94578-2626 | 2016-09-01 |
| 1790939478 | Matthew Jason O'leary | Social Worker | 118 Begier Ave, San Leandro, CA 94577-2812 | 2008-11-07 |
| 1154570810 | Susan V.l. Shing | Social Worker | 500 Estudillo Ave, San Leandro, CA 94577-4612 | 2008-09-17 |
| 1922256379 | Tiara N Jones | Social Worker | 660 Fargo Ave, Unit 5, San Leandro, CA 94579-2149 | 2008-08-28 |
| Find all providers in SAN LEANDRO | ||||
| City | SAN LEANDRO |
| Zip Code | 94578 |
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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.