PATRICIA SHEPARD (NPI# 1558774901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558774901 |
| Entity Type | Individual |
| Full Name | PATRICIA SHEPARD |
| Credential | LICSW |
| Practice Address |
9040 A Jackson Ave Joint Base Lewis Mcchord WA 98431-2858 |
| Mailing Address |
9040 A Jackson Ave 2-2 Ebh Bldg R 1880 Joint Base Lewis Mcchord WA 98431-0001 |
| Practice Telephone | 2539670565 |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2019-02-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TRICARE | UNKNOWN | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386108546 | Patricia Shepard | Nurse Practitioner | 1410 N 8th St Ste B, Carlsbad, NM 88220-3217 | 2019-01-22 |
| 1306840202 | Patricia Shepard | Social Worker | 259 Mass Ave, Arlington, MA 02474-8406 | 2005-06-08 |
| 1396152864 | Patricia Shepard | Behavioral Analyst | 2700 Robert T Longway Blvd, Suite C, Flint, MI 48503-2190 | 2014-07-16 |
| 1275599102 | Patricia Shepard | Physical Therapist | 4010 W 65th St, Suite 105, Edina, MN 55435-1721 | 2006-04-20 |
| Street Address |
9040 A JACKSON AVE |
| City | JOINT BASE LEWIS MCCHORD |
| State | WA |
| Zip Code | 98431-2858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083178941 | Michelle Katrice Girouard | Registered Nurse | 9040 A Jackson Ave, Joint Base Lewis Mcchord, WA 98431-0001 | 2019-01-24 |
| 1730551862 | Heidi Swift | Nurse Practitioner | 9040 A Jackson Ave, Joint Base Lewis Mcchord, WA 98431 | 2015-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| 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 |
|---|---|---|---|---|
| 1376558072 | Sarah Rebecca Jameson | Social Worker | Madican Army Medical Center 9040 Jackson Ave, Joint Base Lewis Mcchord, WA 98431-5275 | 2006-07-30 |
| 1588634174 | Raquel M Shoch | Social Worker | Madigan Army Medical Center 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-4234 | 2006-01-25 |
| 1790343549 | Kaley Rhoden | Social Worker | 9040a Jackson Avenue, Joint Base Lewis Mcchord, WA 98433 | 2019-06-05 |
| 1033685375 | Malea Elizabeth Wigand | Social Worker | 9040 Jackson Ave, Joint Base Lewis Mcchord, WA 98431-0001 | 2018-10-14 |
| 1871007112 | Je Hoon Lee | Social Worker | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2017-11-22 |
| 1356609382 | Michele Renae Barber | Social Worker | 9040 Reid St, Attn: Mchj-qcr, Joint Base Lewis Mcchord, WA 98431-1100 | 2012-04-27 |
| 1215232186 | Dian D Hathaway | Social Worker | 9040 Reid St, Joint Base Lewis Mcchord, WA 98431-1100 | 2011-01-24 |
| 1659417053 | Joanne Stanley | Social Worker | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1100 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427715 | Jerald Rodman | Social Worker | 2565 Kristine Ct, Centralia, WA 98531-8808 | 2020-11-02 |
| 1811597826 | Leika Baquiran | Social Worker | 33301 1st Way S # C-140, Federal Way, WA 98003-6252 | 2020-10-28 |
| 1093315228 | Yaffa Cohen | Social Worker | 4574 187th Pl Se, Issaquah, WA 98027-9731 | 2020-10-27 |
| 1063011609 | Caroline A Lanza | Social Worker | 13035 39th Ave Ne, Seattle, WA 98125-4613 | 2020-10-24 |
| 1740888338 | Susan Lee Garrett-jones | Social Worker | 30517 7th Ave. Ne, Stanwood, WA 98292-9665 | 2020-10-15 |
| 1730787540 | Regina Yeh | Social Worker | 5011b 44th Ave Ne, Seattle, WA 98105-2909 | 2020-10-14 |
| 1144827551 | Heidi Elizabeth Hartz | Social Worker | 9040 Jackson Ave Joint Base Lewis-mcchord, Tacoma, WA 98431-0001 | 2020-10-08 |
| 1730786252 | Alexandra Elias Sharman | Social Worker | 5735 91st Ave Se, Mercer Island, WA 98040-5032 | 2020-10-07 |
| 1639786262 | Charina Carothers | Social Worker | 631 S Richard Allen Ct Ste 104, Spokane, WA 99202-2345 | 2020-09-28 |
| 1700493806 | Alisa M Mattiazzi | Social Worker | 10006 100th Ave Sw, Lakewood, WA 98498-3124 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
| City | JOINT BASE LEWIS MCCHORD |
| Zip Code | 98431 |
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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.