SHELLIE ROBERTS (NPI# 1356713275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356713275 |
| Entity Type | Individual |
| Full Name | SHELLIE ROBERTS |
| Credential | CSW |
| Practice Address |
638 E College Ave Ste B Stanton KY 40380-2363 |
| Practice Telephone | 6063183500 |
| Practice Fax Number | 6063183503 |
| Mailing Telephone | 6063183503 |
| Mailing Fax Number | 6063183503 |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2018-05-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
253204 | KY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100519750 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 70 Main Street, Frenchburg, KY 40322 | 6067682131 |
| Street Address |
638 E COLLEGE AVE STE B |
| City | STANTON |
| State | KY |
| Zip Code | 40380-2363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093708554 | Geneivive Brewer | Social Worker | 638 E College Ave Ste B, Stanton, KY 40380-2363 | 2005-08-30 |
| 1073087797 | Tina A. Smith | Nurse Practitioner | 638 E College Ave Ste B, Stanton, KY 40380-2363 | 2019-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932570 | Sterling Health Solutions, Inc | Clinic/Center | 642 Rose Way, Stanton, KY 40380 | 2020-11-03 |
| 1144857319 | Jing Yang | Technician | 494 N. Main St., Stanton, KY 40380 | 2020-03-26 |
| 1457624488 | Powell County Schools | Local Education Agency (LEA) | 691 Breckinridge St., Stanton, KY 40380 | 2012-02-22 |
| 1740570191 | Kimberly Blevins Moore | Pharmacist | 125 N. Main Street, Stanton, KY 40380 | 2011-04-19 |
| 1154653897 | Evergreen Community Supports, LLC | Community/Behavioral Health | 316b Steam Shovel Road, Stanton, KY 40380 | 2010-02-05 |
| 1235265117 | David Glen Barnes | Chiropractor | 242 Washington St., Stanton, KY 40380 | 2007-02-26 |
| 1184779761 | Donald W Rogers | Psychologist | 203 North Main St, Stanton, KY 40380 | 2007-01-24 |
| 1104834779 | Laura Tipton Cockrell | Physical Therapist | 436 S Main St, Stanton, KY 40380 | 2006-08-03 |
| 1689681363 | Kimberly Anne Sparks | Occupational Therapist | 436 South Main Street, Stanton, KY 40380 | 2006-08-02 |
| 1245246867 | Rosemary Stuehler Capo | Occupational Therapist | 436 South Main St, Stanton, KY 40380 | 2006-08-01 |
| Find all providers in zip 40380 | ||||
| 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 |
|---|---|---|---|---|
| 1447609581 | Anjelica Donata Flores | Social Worker | 7855 Katella Ave, Stanton, CA 90680-3150 | 2016-06-09 |
| 1093708554 | Geneivive Brewer | Social Worker | 638 E College Ave Ste B, Stanton, KY 40380-2363 | 2005-08-30 |
| 1619587060 | Dominique Larissa Adams | Social Worker | 611 N State St, Stanton, MI 48888-9702 | 2020-07-31 |
| 1972143261 | Amber Kohagen | Social Worker | 611 N State St, Stanton, MI 48888-9702 | 2020-01-14 |
| 1528600657 | Kirsten Mae Adris | Social Worker | 611 N State St, Stanton, MI 48888-9702 | 2019-10-10 |
| 1356983407 | Rebecca Lynne Charles | Social Worker | 611 N State St, Stanton, MI 48888-9702 | 2019-10-10 |
| 1821639030 | Victoria Lee Weber | Social Worker | 10936 Dale Ave, Stanton, CA 90680-2724 | 2019-09-30 |
| 1265918528 | Amanda Marie Hartman | Social Worker | 611 N State St, Stanton, MI 48888-9702 | 2018-07-19 |
| 1710471479 | Adria Raggio | Social Worker | 611 N State St, Stanton, MI 48888-9702 | 2018-06-18 |
| 1437654092 | Glory Joanelle Strey | Social Worker | 611 N State St, Stanton, MI 48888-9702 | 2018-03-27 |
| Find all providers in STANTON | ||||
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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.