SHANICE DOUGLAS


Address: 12615 S Main St, Somerville, TN 38068-1673
Phone: 9014659831

SHANICE DOUGLAS (NPI# 1346750163) 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) 1346750163
Entity Type Individual
Full Name SHANICE DOUGLAS
Practice Address 12615 S Main St
Somerville
TN 38068-1673
Mailing Address 1997 Highway 51 S
Covington
TN 38019-3630
Practice Telephone 9014659831
Mailing Telephone 9014768967
Enumeration Date 2017-10-06
Last Update Date 2017-10-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker 11343 TN Behavioral Health & Social Service Providers

Other Providers SHANICE DOUGLAS

NPI Name Taxonomy Address Enumeration
1699268797 Shanice Delisa Douglas Counselor 520 Dudley St, Roxbury, MA 02119-2769 2018-06-13

Office Location

Street Address 12615 S MAIN ST
City SOMERVILLE
State TN
Zip Code 38068-1673

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063850477 Paula Lenore Walker Nurse Practitioner 25 Woodbridge, Suite A, Somerville, TN 38068 2013-06-07
1902026107 Alliance Health Services, Inc Home Health 201 Lakeview Dr, Suite B, Somerville, TN 38068 2007-04-27
1730239997 State of Tennessee Public Health or Welfare 90 Yum Yum Road, Somerville, TN 38068 2007-01-11
1366514697 Cynthia D Elder Pharmacy Technician 13092 North Main Street, Summerville, TN 38068 2006-11-14
1275612053 Bessie M Hoskins Pharmacy Technician 13092 North Main, Somerville, TN 38068 2006-11-03
1245319797 Deborah Louise Davis Pharmacy Technician 8885 La Grange Rd, Somerville, TN 38068 2006-11-03
1891876868 John David Cima Dentist 13190 N. Main St, Somerville, TN 38068 2006-10-18
1750478277 Marie Middlecoff Stevens Pharmacist 13092 N Main Street, Super Drugs, Somerville, TN 38068 2006-10-06
1588675276 Wilder Clinic Family Medicine 201 Lake View, Ste A Wilder Clinic, Sunerville, TN 38068 2006-08-10
1588687644 Freds Stores of Tennessee Inc Pharmacy Highway 64 West, Somerville, TN 38068 2006-07-26
Find all providers in zip 38068

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
1548871940 Crystal Johnson Social Worker 43 Whitman St # 2, Somerville, MA 02144-1615 2020-08-11
1104459544 Tiana Graham Social Worker 34 Ibbetson St Apt 2, Somerville, MA 02143-2449 2020-02-13
1386109882 Louise A Marks Social Worker 26 Grand View Ave # 1, Somerville, MA 02143-1812 2019-02-08
1437633831 Paige Vannorstrand Social Worker 216 Powder House Blvd, Somerville, MA 02144-1531 2018-09-20
1750869848 Anne Fowler Social Worker 61 Medford St Ste 2, Somerville, MA 02143-3422 2018-08-01
1447771902 Shaina Tehlikian Social Worker 75 Veterans Memorial Dr E Ste 205, Somerville, NJ 08876-2949 2017-07-05
1225585821 Carol Bender Social Worker 150a West High St, Somerville, NJ 08876-4433 2016-09-01
1245600501 Libby Vilner Social Worker 12 Tyler St., Somerville, MA 02143 2015-09-30
1750723292 Irene Lee Lanois Social Worker 9 Adelaide Rd, Apt 2, Somerville, MA 02143-3507 2013-07-25
1356614226 Victoria Anne Murray Social Worker 167 Albion St, Apt 2, Somerville, MA 02144-2673 2012-02-22
Find all providers in SOMERVILLE

Competitor

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City SOMERVILLE
Zip Code 38068

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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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