SHANNON L GRANTHAM (NPI# 1568633048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568633048 |
| Entity Type | Individual |
| Full Name | SHANNON L GRANTHAM |
| Credential | LCSW |
| Practice Address |
323 W Walnut Ave Bastrop LA 71220-4521 |
| Mailing Address |
2235 New Natchitoches Rd West Monroe LA 71292-2125 |
| Practice Telephone | 3186659950 |
| Mailing Telephone | 3183933464 |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2016-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 5310 | LA | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
002907292 | LA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073145769 | Shannon Grantham | Occupational Therapist | 5901 W 107th St, Overland Park, KS 66207-3882 | 2020-02-10 |
| Street Address |
323 W WALNUT AVE |
| City | BASTROP |
| State | LA |
| Zip Code | 71220-4521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003898313 | Morehouse General Hospital | General Acute Care Hospital | 323 W Walnut Ave, Bastrop, LA 71220-4521 | 2005-11-14 |
| 1376089359 | Morehouse General Hospital | Psychiatric Unit | 323 W Walnut Ave, Bastrop, LA 71220-4521 | 2017-01-13 |
| 1255777934 | Kei Nagatomo | Surgery | 323 W Walnut Ave, Bastrop, LA 71220-4521 | 2013-05-21 |
| 1942551627 | April D Temple | Dietitian, Registered | 323 W Walnut Ave, Bastrop, LA 71220-4521 | 2012-09-21 |
| 1275810699 | Yolanda Lafaye Starr | Nurse Practitioner | 323 W Walnut Ave, Bastrop, LA 71220-4521 | 2011-11-14 |
| 1518254713 | Lisa Michelle Faulkenbury | Nurse Practitioner | 323 W Walnut Ave, Bastrop, LA 71220-4521 | 2011-07-07 |
| 1649436080 | Morehouse Hyperbaric Medicine Providers, LLC | Legal Medicine | 323 W Walnut Ave, Bastrop, LA 71220-4521 | 2008-08-05 |
| 1790966638 | Morehouse General Hospital | Psychiatry & Neurology | 323 W Walnut Ave, Bastrop, LA 71220-4521 | 2007-11-20 |
| 1831202720 | Morehouse General Hospital | Medicare Defined Swing Bed Unit | 323 W Walnut Ave, Bastrop, LA 71220-4521 | 2006-08-16 |
| 1366480030 | Jay Mashburn | Emergency Medicine | 323 W Walnut Ave, Bastrop, LA 71220-4521 | 2006-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952935983 | Broken Wings Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 2869 New Monroe Road, Bastrop, LA 71220 | 2020-02-28 |
| 1275002685 | Hulin Urgent Care Services, LLC | Clinic/Center | 2100 East Madison Avenue, Bastrop, LA 71220 | 2018-11-14 |
| 1023594975 | Shuntel Ramona Johnson | Counselor | 8891 Holley Farm Road, Bastrop, LA 71220 | 2018-07-13 |
| 1376050526 | Kevin Hubbard | Case Manager/Care Coordinator | 9409 Willow Dr, Bastrop, LA 71220 | 2018-01-09 |
| 1265957229 | Alma Holmes | Behavioral Analyst | 644 E. Jefferson Ave, Bastrop, LA 71220 | 2017-08-10 |
| 1427570886 | Jennifer Rochelle Glosson | Counselor | 410 S. Franklin St, Bastrop, LA 71220 | 2017-07-07 |
| 1386179307 | Total Divine Care LLC | Community/Behavioral Health | 1840 North Washington Street, Bastrop, LA 71220 | 2017-04-27 |
| 1538609524 | Tyrra Watkins | Counselor | 10599 Parkwood Dr, Bastrop, LA 71220 | 2017-02-24 |
| 1528502119 | Oatie Brooks | Counselor | 813 Mccreight Street, Bastrop, LA 71220 | 2016-12-15 |
| 1487197810 | Valencia Reese | Counselor | 10434 Boswell St, Bastrop, LA 71220 | 2016-12-03 |
| Find all providers in zip 71220 | ||||
| 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 |
|---|---|---|---|---|
| 1710471727 | Resilient Solutions | Social Worker | 207 Northwood Dr, Bastrop, LA 71220-1003 | 2018-06-22 |
| 1619426301 | Josie Cedillo | Social Worker | 1011 Alley A, Bastrop, TX 78602 | 2016-09-23 |
| 1023481157 | Mary Melton | Social Worker | 614 Kammell St, Bastrop, LA 71220-2606 | 2015-11-11 |
| 1992138283 | N Otoupal, Pllc | Social Worker | 75 Loop 150 W, Ste G, Bastrop, TX 78602-3792 | 2013-08-09 |
| 1871925743 | Tamekia Downs | Social Worker | 644 E Jefferson Ave, Bastrop, LA 71220-4619 | 2013-08-02 |
| 1639438344 | Floyd Psychotherapy Group, LLC | Social Worker | 110 N Franklin St, Bastrop, LA 71220-3816 | 2012-05-15 |
| 1831470277 | Tamala D Floyd | Social Worker | 117 S Franklin St, Bastrop, LA 71220-4529 | 2011-08-30 |
| 1508091836 | Priscilla Mcfarlin | Social Worker | 264 Kaanapali, Bastrop, TX 78602-5446 | 2009-05-15 |
| 1881875615 | Kristine Marie Roberts | Social Worker | 1106 College St Ste E, Bastrop, TX 78602-4021 | 2007-11-20 |
| 1891826061 | Rosa Esmeralda Olivares | Social Worker | 111 N Hasler Blvd Ste 209, Bastrop, TX 78602-3984 | 2007-03-08 |
| Find all providers in BASTROP | ||||
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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.