SHANNON WILLIS (NPI# 1417291816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417291816 |
| Entity Type | Individual |
| Full Name | SHANNON WILLIS |
| Practice Address |
9702 Stonestreet Rd Ste. 110 Louisville KY 40272-6808 |
| Mailing Address |
101 W Muhammad Ali Blvd Louisville KY 40202-1423 |
| Practice Telephone | 5025898600 |
| Practice Fax Number | 5025898771 |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2012-11-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 4675 | KY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215141429 | Shannon Rachel Willis | Registered Nurse | 6973 Chester Dr Apt A, Madison, WI 53719-1917 | 2007-05-09 |
| 1801249479 | Shannon Leigh Willis | Behavioral Analyst | 5777 W Century Blvd, Suite 675, Los Angeles, CA 90045-5600 | 2016-07-19 |
| 1487971263 | Shannon Willis | Internal Medicine | 1000 Medical Center Blvd, Ground Floor Gme Office, Lawrenceville, GA 30046-7694 | 2010-05-03 |
| Street Address |
9702 STONESTREET RD STE. 110 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40272-6808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083612444 | Alan I Roth | Orthopaedic Surgery | 9702 Stonestreet Rd, Suite 304, Louisville, KY 40272-6808 | 2005-07-11 |
| 1609477983 | Krista A Bullard | Social Worker | 9702 Stonestreet Rd, Louisville, KY 40272-6808 | 2020-11-04 |
| 1952851859 | Renew Recovery, LLC | Substance Abuse Rehabilitation Facility | 9702 Stonestreet Rd, Suite 120, Louisville, KY 40272 | 2016-10-04 |
| 1295282655 | Jessica Ann Tobey | Counselor | 9702 Stonestreet Rd, Suite 110, Louisville, KY 40272-6808 | 2016-09-02 |
| 1881140861 | Karen M Goodman | Counselor | 9702 Stonestreet Rd, Louisville, KY 40272-6808 | 2016-08-30 |
| 1841661709 | Tara Reed Chernecke | Nurse Practitioner | 9702 Stonestreet Rd, Suite 100, Louisville, KY 40272-6808 | 2015-10-16 |
| 1497152011 | Melissa Soete | Marriage & Family Therapist | 9702 Stonestreet Rd, Suite 110, Louisville, KY 40272-6808 | 2014-11-25 |
| 1780090233 | Umama Sadia | Family Medicine | 9702 Stonestreet Rd, Louisville, KY 40272 | 2014-07-05 |
| 1962820928 | Kristin Kephart | Counselor | 9702 Stonestreet Rd, Suite 110, Louisville, KY 40272-6808 | 2014-04-06 |
| 1689004152 | Allison Crowley | Social Worker | 9702 Stonestreet Rd, Suite 110, Louisville, KY 40272-6808 | 2013-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649795105 | Jewell Elizabeth Berger | Occupational Therapist | 9700 Stone Street Rd, Louisville, KY 40272 | 2017-08-07 |
| 1235668658 | Jessica Cook | Occupational Therapy Assistant | 12420 Hedgeapple Way, Louisville, KY 40272 | 2017-06-08 |
| 1033468525 | Shawn Thomas Benningfield | Counselor | 9702 Stonestreet Rd Ste 120, Louisville, KY 40272 | 2012-08-30 |
| 1386956415 | Jeannette M Martin | Marriage & Family Therapist | 9800 Stonestreet Rd, Louisville, KY 40272 | 2010-07-06 |
| 1437346145 | Community Family Living, LLC | Day Training, Developmentally Disabled Services | 610 Valley College Dr., Louisville, KY 40272 | 2007-09-26 |
| 1982797403 | William Spencer Shipley | Dentist | 9900 Old Third Street Road, Louisville, KY 40272 | 2006-10-02 |
| 1962513317 | Teresa May Wright | Nurse Practitioner | 1912 Penile Rd, Valley Station, KY 40272 | 2006-08-31 |
| 1710400734 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 701 Valley College Dr, Louisville, KY 40272 | 2017-07-21 |
| 1790075349 | Carl Daniel Gioia | Dentist | 9709 Dixie Hwy, Louisville, KY 40272 | 2011-04-17 |
| 1447400304 | Linda Michelle Shaughnessy | Physical Therapist | 9700 Stonestreet Rd, Louisiville, KY 40272 | 2008-09-26 |
| Find all providers in zip 40272 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407479991 | Robin Conway | Social Worker | 10205 Garlanreid Pl, Louisville, KY 40223-2969 | 2020-05-19 |
| 1154970226 | Pamela Gay Baker | Social Worker | 4407 Jewell Ave, Louisville, KY 40212-2723 | 2019-09-10 |
| 1336703867 | Socialbug Integrated Counseling Services, Inc. | Social Worker | 6801 Dixie Hwy Ste 232, Louisville, KY 40258-3962 | 2019-04-30 |
| 1033698097 | Henry Lomell Buckwalter | Social Worker | 8910 Greeneway Commons Pl Ste 100, Louisville, KY 40220-4065 | 2018-08-10 |
| 1609354075 | Jessica Shea | Social Worker | 355 S Bayly Ave Apt A, Louisville, KY 40206-2574 | 2018-07-29 |
| 1790276087 | Amanda Averette-bush | Social Worker | 5521 Wilke Farm Ave, Louisville, KY 40216-1269 | 2018-05-23 |
| 1265939607 | Caree Gordon | Social Worker | 850 Washburn Ave Apt 325, Louisville, KY 40222-6787 | 2018-04-11 |
| 1477050144 | Jolanta Staniszewska | Social Worker | 1700 Cargo St, Louisville, KY 40299 | 2018-04-10 |
| 1720528862 | Danielle Jennings | Social Worker | 4100 Waterford Cir Apt 5, Louisville, KY 40207-5244 | 2017-03-07 |
| 1912458340 | Richard Nassr | Social Worker | 117 S Crestmoor Ave, Louisville, KY 40206-2736 | 2016-10-20 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40272 |
Please comment or provide details below to improve the information on SHANNON WILLIS.
| 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.