SHANNON WATSON (NPI# 1558916304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558916304 |
| Entity Type | Individual |
| Full Name | SHANNON WATSON |
| Credential | LCSW |
| Practice Address |
5000 S 5th Ave Unit 2south Hines IL 60141-3030 |
| Practice Telephone | 7082028387 |
| Practice Fax Number | 7082024700 |
| Mailing Telephone | 7082028387 |
| Mailing Fax Number | 7082024700 |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2019-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149.021149 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555129 | Shannon Watson | Social Worker | 613 National Ave, Terrytown, LA 70056-2907 | 2020-10-14 |
| 1205342722 | Shannon S Watson | Speech-Language Pathologist | 165 Dodds Ct, Burlington, VT 05408-2648 | 2017-12-20 |
| 1689045429 | Shannon Watson | Psychologist | 1061 Bayview St, Holly Hill, SC 29059-8583 | 2015-10-19 |
| 1497030761 | Shannon O Watson | Occupational Therapist | 3450 W Kent Dr, Chandler, AZ 85226-1426 | 2011-10-18 |
| 1639343585 | Shannon Gerald Watson | Chiropractor | 18103 Coastline Dr. #5, Malibu, CA 90265-5744 | 2008-04-22 |
| 1609499391 | Shannon Jewel Watson | Physician Assistant | 2570 48th St, Sacramento, CA 95817-1541 | 2020-05-28 |
| 1013481654 | Shannon Watson | Behavior Technician | 21000 S Frankfort Square Rd, Frankfort, IL 60423-9385 | 2019-01-16 |
| 1336658798 | Shannon Watson | Home Health | 609 S 2nd St, Smithfield, NC 27577-4343 | 2017-09-28 |
| 1720539141 | Shannon Watson | Licensed Vocational Nurse | 101 Gough St, San Francisco, CA 94102-5903 | 2016-10-20 |
| 1265744817 | Shannon Watson | Pharmacist | 10900d Research Blvd # D, Austin, TX 78759-5720 | 2010-07-12 |
| Street Address |
5000 S 5TH AVE UNIT 2SOUTH |
| City | HINES |
| State | IL |
| Zip Code | 60141-3030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992273056 | Donizetti Razo | Social Worker | 5000 S. Fifth Avenue, Building 228, Room 4078, Hines, IL 60141 | 2018-11-07 |
| 1558838086 | Michael Calia | Social Worker | Patient Advocate Office #122, Edward Hines Jr. Va Hospital, 5000 S. 5th Avenue, Hines, IL 60141 | 2018-11-02 |
| 1639684640 | David Alan Edwards | Specialist/Technologist | 5000 S 5ht Ave, Building 113, Hines, IL 60141 | 2017-12-13 |
| 1689189706 | Joseph Jorgenson | Rehabilitation Practitioner | Hines Brc Bld 113, 5000 S 5th Ave, 124, Hines, IL 60141 | 2017-12-12 |
| 1154836823 | Kristy Bassett | Social Worker | 5000 S 5th Ave Bldg 2284n, Hines, IL 60141 | 2017-12-04 |
| 1396269387 | Aaron Jerome Brown | Kinesiotherapist | 5000 S 5th. Ave., Hines, IL 60141 | 2017-08-01 |
| 1932454634 | Michael Ladra Marquez | Physical Therapist | 5000 South 5th Ave., Edward Hines Jr. Va Hospital, Hines, IL 60141 | 2012-07-18 |
| 1437489713 | Linda Christime Bronski | Social Worker | Fifth Ave and Roosevelt Ave Bldg 228, Edward Hines Jr Va Hospital, Hines, IL 60141 | 2010-01-08 |
| 1700113859 | Sarah Jean Ostrowski | Recreation Therapist | 2100 S 5th Ave, Hines, IL 60141 | 2009-11-11 |
| 1841447299 | Narayanarao Madamala | Pharmacist | Hines Consolidated Mail Out Pharmacy, Building 37nw, Hines, IL 60141 | 2008-08-27 |
| Find all providers in zip 60141 | ||||
| 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 |
|---|---|---|---|---|
| 1386299279 | Ashleigh Mansker | Social Worker | 5000 S 5th Ave Rm 4078, Hines, IL 60141-3030 | 2019-08-07 |
| 1558838086 | Michael Calia | Social Worker | Patient Advocate Office #122, Edward Hines Jr. Va Hospital, 5000 S. 5th Avenue, Hines, IL 60141 | 2018-11-02 |
| 1841721933 | Elizabeth Steimel | Social Worker | 5000 S 5th Ave # 2284n, Hines, IL 60141-3030 | 2017-03-21 |
| 1437489713 | Linda Christime Bronski | Social Worker | Fifth Ave and Roosevelt Ave Bldg 228, Edward Hines Jr Va Hospital, Hines, IL 60141 | 2010-01-08 |
| 1659507242 | Barbara Madej Roos | Social Worker | 500 S. 5th Ave., Hines, IL 60141-3030 | 2009-06-09 |
| 1417109885 | Lucia Barrera | Social Worker | 5000 S 5th Ave # 122, Hines, IL 60141-3030 | 2008-10-16 |
| 1346437431 | Joyce Lynette Woods | Social Worker | 5000 S. 5th Ave, 4 North, Bldg 228, Hines, IL 60141-5000 | 2007-10-02 |
| 1174604664 | Michael G. Mccann | Social Worker | 5th and Roosevelt Avenue, Hines, IL 60141 | 2006-10-18 |
| 1851495089 | Kathleen Hobein | Social Worker | 5th Avenew and Roosevelt Road, Hines, IL 60141-5000 | 2006-09-08 |
| 1407865462 | Eugene Jason Mask | Social Worker | 5th Ave. and Roosevelt Rd, Hines, IL 60141-5128 | 2006-08-07 |
| Find all providers in HINES | ||||
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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.