SHANEQUA MCCRIMMON (NPI# 1427656214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427656214 |
| Entity Type | Individual |
| Full Name | SHANEQUA MCCRIMMON |
| Practice Address |
1005 Atlantic Ave Alameda CA 94501-1148 |
| Practice Telephone | 4154747310 |
| Mailing Telephone | 4154747310 |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
1005 ATLANTIC AVE |
| City | ALAMEDA |
| State | CA |
| Zip Code | 94501-1148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447460381 | Adriana Maria Furuzawa | Counselor | 1005 Atlantic Ave, Alameda, CA 94501-1148 | 2007-05-22 |
| 1164021846 | Ahide Palomera | Specialist | 1005 Atlantic Ave, Alameda, CA 94501-1148 | 2020-10-22 |
| 1912504036 | Janice Bush | Counselor | 1005 Atlantic Ave, Alameda, CA 94501-1148 | 2020-10-01 |
| 1942825310 | Alejandra Cuspinera Boyer | Social Worker | 1005 Atlantic Ave, Alameda, CA 94501-1148 | 2020-06-11 |
| 1104387778 | Adriana Camacho | Case Manager/Care Coordinator | 1005 Atlantic Ave, Alameda, CA 94501-1148 | 2019-03-27 |
| 1780136853 | Latoya Smithjohnson | Licensed Vocational Nurse | 1005 Atlantic Ave, Alameda, CA 94501-1148 | 2016-10-25 |
| 1528511193 | Chloe Fulton | Social Worker | 1005 Atlantic Ave, Alameda, CA 94501-1148 | 2016-07-29 |
| 1902257918 | Rosalie Colosio | Psychologist | 1005 Atlantic Ave, Alameda, CA 94501-1148 | 2016-06-30 |
| 1255745410 | Analuz Tapia | Counselor | 1005 Atlantic Ave, Alameda, CA 94501-1148 | 2014-06-16 |
| 1144551581 | Felton Institute | Community/Behavioral Health | 1005 Atlantic Ave, Alameda, CA 94501-1148 | 2010-01-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386259158 | Hailee Ann Heiselbetz | Behavior Technician | 1025 Atlantic Ave. Ste 101, Alameda, CA 94501 | 2020-09-09 |
| 1134745961 | Linda Nykin | Naturopath | 2002 Monterey Cir, Alameda, CA 94501 | 2020-06-17 |
| 1801427570 | Mirna Rodriguez Lopez | Behavior Technician | 1025 Atlantic Ave. Ste. 101, Alameda, CA 94501 | 2020-01-30 |
| 1356987010 | Guadalupe H Hernandez | Technician | 3650 Mount Diablo Blvd, Layayette, CA 94501 | 2019-11-18 |
| 1952951832 | Lily T Nguyen | Behavior Technician | 1025 Atlantic Ave, Suite 101, Alameda, CA 94501 | 2019-09-12 |
| 1326503004 | Mary Macpherson | Speech-Language Pathologist | 2308 Central Ave., Alameda, CA 94501 | 2019-02-06 |
| 1285103838 | Stephanie Owens | Behavioral Analyst | 2213 Clinton Ave #a, Alameda, CA 94501 | 2018-11-13 |
| 1508349390 | Cindy Cabrera | Behavioral Analyst | 1025 Atlantic Ave Suite 101, Alameda, CA 94501 | 2018-09-08 |
| 1629554928 | Anita Elizabeth Bower | Behavioral Analyst | 125 Atlantic Ave Suite 101, Alameda, CA 94501 | 2018-07-19 |
| 1659862571 | Mariana Rocio Pacas Mexicano | Behavioral Analyst | 1025 Atlantic Ave. Suite 101, Alameda, CA 94501 | 2018-05-26 |
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| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124515978 | Brandi D Wilson | Case Manager/Care Coordinator | 320 Grand St Apt 302, Alameda, CA 94501-5959 | 2018-04-17 |
| 1144344219 | Community Health Center Network | Case Manager/Care Coordinator | 1320 Harbor Bay Pkwy, Suite 250, Alameda, CA 94502-6578 | 2007-03-16 |
| 1104387778 | Adriana Camacho | Case Manager/Care Coordinator | 1005 Atlantic Ave, Alameda, CA 94501-1148 | 2019-03-27 |
| 1487043071 | Jimmy Lorenza Johnson Sr. | Case Manager/Care Coordinator | 1080 Marina Village Pkwy, Suite # 100, Alameda, CA 94501-6427 | 2015-01-20 |
| 1760627343 | Mark Goomishian | Case Manager/Care Coordinator | 1415 Broadway, Alameda, CA 94501-4663 | 2008-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275935 | Grecia Leticia Garcia | Case Manager/Care Coordinator | 1830 Rodgers Rd Apt F, Hanford, CA 93230-1930 | 2020-11-03 |
| 1679173835 | Cristina Palacios-gomez | Case Manager/Care Coordinator | 1834 E Lester Ave, Fresno, CA 93720-1963 | 2020-10-27 |
| 1417557653 | Jeannine Arnetta Nash | Case Manager/Care Coordinator | 7614 Lemon Ave Ste C, Lemon Grove, CA 91945-1619 | 2020-10-27 |
| 1932709359 | Vue Moua | Case Manager/Care Coordinator | 4812 Conzelman Way, Elk Grove, CA 95757-2508 | 2020-10-26 |
| 1932709458 | Andre Howard | Case Manager/Care Coordinator | 2281 Hurley Way Apt 10, Sacramento, CA 95825-2337 | 2020-10-26 |
| 1194324020 | Project Raised | Case Manager/Care Coordinator | 3839 Amanda St, Unit 133, West Covina, CA 91792-2759 | 2020-10-21 |
| 1528667854 | Sarah Claudio | Case Manager/Care Coordinator | 650 Howe Ave # 400-b, Sacramento, CA 95825 | 2020-10-19 |
| 1750989240 | David John Schmidt-cook | Case Manager/Care Coordinator | 5580 Foothill Rd, Rocklin, CA 95677-3316 | 2020-10-15 |
| 1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
| 1841897675 | Madeline Hannah Starkenburg | Case Manager/Care Coordinator | 11559 Claridge Dr, Rch Cucamonga, CA 91730-7246 | 2020-10-05 |
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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.