SHANIKA RUCKER


Address: 1000 Lafayette Blvd Ste 1105, Bridgeport, CT 06604-4725
Phone: 2032963345

SHANIKA RUCKER (NPI# 1396306015) 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) 1396306015
Entity Type Individual
Full Name SHANIKA RUCKER
Credential LCSW
Practice Address 1000 Lafayette Blvd Ste 1105
Bridgeport
CT 06604-4725
Mailing Address 308 Remington St
Bridgeport
CT 06610-2213
Practice Telephone 2032963345
Practice Fax Number 2034135766
Mailing Telephone 2035568731
Enumeration Date 2019-06-24
Last Update Date 2019-08-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
010394 CT Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
180 Fairfield Ave, Bridgeport, CT 066044252 2033946529

Office Location

Street Address 1000 LAFAYETTE BLVD STE 1105
City BRIDGEPORT
State CT
Zip Code 06604-4725

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780163246 Jill K Bebey Pharmacist 564 A Park Ave, Bridgeport, CT 06604 2018-08-07
1538663430 Ryan Attar Naturopath 129 Columbia St, Bridgeport, CT 06604 2018-03-23
1487153375 Fe Y Esperanza Home Care Services Home Health 2032 Main Street, Bridgeport, CT 06604 2018-02-06
1013423466 Va.lu Able Home Care LLC Registered Nurse 1000 Lafayette Boulvard, Bridgeport, CT 06604 2017-12-21
1679970172 Aarti Jawa Dentist 594 Pequonnoack Street, Bridgeport, CT 06604 2014-11-26
1932521473 Anthony Santostefano Dentist 594 Pequonnock Street, Bridgeport, CT 06604 2014-01-18
1699011536 Vanessa Frances Doyle Naturopath 115 Broad Street, C/o Center of Excellence, Bridgeport, CT 06604 2012-12-21
1942463302 Joanna Conte Mcgary Naturopath 60 Lafayette Street, Naturopathic Medical Center University of Bridgeport, Bridgeport, CT 06604 2008-07-07
1346415221 Jenna Lyn Blasi Naturopath 60 Lafayette, University of Bridgeport College of Naturopathic Medici, Bridgeport, CT 06604 2008-04-23
1275704462 Watermark 3030 Park LLC Skilled Nursing Facility 3030 Park Ave, Bridgeport, CT 06604 2008-03-17
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477163400 Christine Rene Meredith Social Worker 505 Hovey St, Bridgeport, TX 76426-2923 2020-08-04
1225647597 Synaptic Communications Social Worker 73 Seaside Ave, Bridgeport, CT 06605-3540 2020-07-23
1548878192 Theresa Manuel Social Worker 325 Lafayette St Unit 3105, Bridgeport, CT 06604-5475 2020-07-20
1780147322 Rashanee Green-younger Social Worker 53 Louisiana Ave, Bridgeport, CT 06610-1542 2019-04-10
1396230801 Victoria Zoeller Social Worker 140 John St, Bridgeport, CT 06604-4323 2018-06-27
1396252276 Marriott Lpc Social Worker 3715 Main St Ste 402, Bridgeport, CT 06606-3611 2018-01-02
1477068203 Tonisha Keon Cohen-king Social Worker 957 Evers Street Ext, Bridgeport, CT 06610-1261 2017-12-01
1073027322 Cristine Connor Social Worker 154 Glenbrook Rd, Bridgeport, CT 06610-1149 2017-11-23
1194247916 Jessica M. Maddern Social Worker 1558 Barnum Avenue, Building C, Bridgeport, CT 06610 2017-07-13
1366962094 Whitney Darden Social Worker 1635 Central Ave Fl 5, Bridgeport, CT 06610-2717 2017-06-23
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Competitor

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City BRIDGEPORT
Zip Code 06604

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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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