SHANE PETITE MARSHALL (NPI# 1376873877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376873877 |
| Entity Type | Individual |
| Full Name | SHANE PETITE MARSHALL |
| Credential | MSW, LSW |
| Practice Address |
1490 E Main St Columbus OH 43205-2140 |
| Practice Telephone | 6142520731 |
| Mailing Telephone | 6142520731 |
| Enumeration Date | 2010-01-05 |
| Last Update Date | 2010-01-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
S 0500640 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073819314 | Shane Marshall | Emergency Medicine | 4813 S 187th East Ave, Tulsa, OK 74134-7203 | 2011-02-03 |
| Street Address |
1490 E MAIN ST |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43205-2140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609834712 | St Vincent Family Centers | Psychiatric Residential Treatment Facility | 1490 E Main St, Columbus, OH 43205-2140 | 2006-05-01 |
| 1386243103 | Tevin Govan | Case Manager/Care Coordinator | 1490 E Main St, Columbus, OH 43205-2140 | 2020-10-22 |
| 1740889641 | Michael A Bonner | Social Worker | 1490 E Main St, Columbus, OH 43205-2140 | 2020-10-21 |
| 1174138820 | Treva Gaupp | Case Manager/Care Coordinator | 1490 E Main St, Columbus, OH 43205-2140 | 2020-09-10 |
| 1235742230 | Chasiti Rene' Wachter | Behavior Technician | 1490 E Main St, Columbus, OH 43205-2140 | 2020-08-28 |
| 1336751577 | Lauren Kali Johnson | Case Manager/Care Coordinator | 1490 E Main St, Columbus, OH 43205-2140 | 2020-08-19 |
| 1497373179 | Tarana Shanae Jennings | Case Manager/Care Coordinator | 1490 E Main St, Columbus, OH 43205-2140 | 2020-07-09 |
| 1548885395 | Maria Rosado | Registered Nurse | 1490 E Main St, Columbus, OH 43205-2140 | 2020-06-08 |
| 1912534462 | Lisa Deborah Johnson | Registered Nurse | 1490 E Main St, Columbus, OH 43205-2140 | 2020-03-25 |
| 1710511894 | Rebecca Sprouse | Case Manager/Care Coordinator | 1490 E Main St, Columbus, OH 43205-2140 | 2020-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909404 | Celine Richard | Otolaryngology | Pediatric Ent Department, Nationwide Children's Hospita, 700 Children's Dr., Columbus, OH 43205 | 2020-07-09 |
| 1295351872 | Christina Cotterman | Nurse Practitioner | 700 Children Dr, Columbus, OH 43205 | 2020-06-19 |
| 1740847946 | John M Williamson | Nurse Practitioner | 1441 Phale D. Hale, Columbus, OH 43205 | 2019-05-22 |
| 1811486699 | Kathy L Carter | Case Manager/Care Coordinator | 899 E. Broad Street Ste 150, Columbus, OH 43205 | 2018-05-07 |
| 1174012512 | Erin Crist | Genetic Counselor, MS | 700 Childrens Dr # T4d, Columbus, OH 43205 | 2018-05-01 |
| 1417451782 | Kimberly Banner | Case Manager/Care Coordinator | 1490 E Main Street, Columbus, OH 43205 | 2018-03-21 |
| 1336641539 | Nitisha Y Burkhead | Social Worker | 700 Chidren's Dr., Columbus, OH 43205 | 2018-03-02 |
| 1568981496 | Chris Allen York I | Counselor | 3035 W. Broad Steert, Arizona Counseling & Consultation, Columbus, OH 43205 | 2017-09-12 |
| 1144774407 | Tyler Rolfes | Nurse Practitioner | 444 Butterfly Gardens Dr., Columbus, OH 43205 | 2016-08-04 |
| 1902257876 | George Michael Ziegler | Pediatrics | 611 E Livingston Ave, Section of Neonatology, Columbus, OH 43205 | 2016-06-22 |
| Find all providers in zip 43205 | ||||
| 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 |
|---|---|---|---|---|
| 1336748268 | Megan Ferguson | Social Worker | 2516 Gardenia Dr, Columbus, OH 43235-5515 | 2020-10-21 |
| 1427664861 | Kelly Hellmuth | Social Worker | 49 W Henderson Rd, Columbus, OH 43214-2627 | 2020-09-21 |
| 1891308714 | Kassandra Hill | Social Worker | 8400 Veterans Pkwy Apt 1317, Columbus, GA 31909-2466 | 2020-08-29 |
| 1487265856 | Pamela Reid Seldon | Social Worker | 6242 Mill Branch Rd, Columbus, GA 31907-4430 | 2020-08-11 |
| 1205445145 | Mallorie E Davis | Social Worker | 1350 W 5th Ave Ste 112, Columbus, OH 43212-2907 | 2020-07-27 |
| 1245854223 | Jennifer Dirr | Social Worker | 3770 Tanager Dr, Columbus, OH 43230-1181 | 2020-06-04 |
| 1104446400 | Jared Bollenbacher | Social Worker | 467 Wilson Ave, Columbus, OH 43205-1944 | 2020-04-16 |
| 1093344681 | Nathanael William Russell | Social Worker | 9770 Big Hand Rd, Columbus, MI 48063-2913 | 2020-04-06 |
| 1194350488 | Sara Warren | Social Worker | 2664 Cranford Rd, Columbus, OH 43221-1108 | 2020-03-06 |
| 1285266445 | Mantra Mental Health, LLC | Social Worker | 3630 N High St Ste 203, Columbus, OH 43214-3652 | 2020-02-06 |
| Find all providers in COLUMBUS | ||||
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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.