SHANE SCOTT URBAN (NPI# 1609269489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609269489 |
| Entity Type | Individual |
| Full Name | SHANE SCOTT URBAN |
| Other Name | SHANE SCOTT URBAN |
| Practice Address |
444 N. Westhill Blvd. Appleton WI 54914 |
| Mailing Address |
316 W 15th Ave Oshkosh WI 54902-6516 |
| Practice Telephone | 9207507008 |
| Mailing Telephone | 9205734028 |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2015-03-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
127558-121 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477093375 | Shane Urban | Registered Nurse | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2017-02-27 |
| Street Address |
444 N. WESTHILL BLVD. |
| City | APPLETON |
| State | WI |
| Zip Code | 54914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572429 | Claire Schuh | Social Worker | 3416 Association Ln, Appleton, WI 54914 | 2020-09-09 |
| 1568099729 | Access Elevator, Inc. | Contractor | 1314 W. College Ave, Appleton, WI 54914 | 2020-03-26 |
| 1124677885 | Sharon Darla Cornell | Technician | 3117 N. Mistwood Lane, Appleton, WI 54914 | 2019-09-05 |
| 1235647793 | Midwest Monitoring, LLC | Psychiatry & Neurology | 4321 W College Ave Ste 200, Appleton, WI 54914 | 2018-01-18 |
| 1356863252 | Uvanta Pharmacy LLC | Pharmacy | 1050 S Grider St, Suite C, Appleton, WI 54914 | 2017-07-12 |
| 1255860912 | Appleton Counseling Management LLC | Counselor | 477 S Nicolet Rd., Appleton, WI 54914 | 2017-06-07 |
| 1699184580 | Michelle Becker | Nurse Practitioner | 4435 West Lawrence St., Appleton, WI 54914 | 2014-08-05 |
| 1972857514 | Jean Flesch | Pharmacist | 1000 W. Northland Ave., Appleton, WI 54914 | 2012-11-05 |
| 1477845147 | Mallory Barbara Herrin | Counselor | 820 W. College Ave, Appleton, WI 54914 | 2011-05-12 |
| 1427387661 | Province Terrace Villas Long Ct. LLC | Assisted Living Facility | 5216 Long Court, Appleton, WI 54914 | 2009-12-17 |
| Find all providers in zip 54914 | ||||
| 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 |
|---|---|---|---|---|
| 1922616895 | Maria Recker | Social Worker | N319 Hillside Dr, Appleton, WI 54915-9449 | 2020-07-16 |
| 1447762547 | Jennifer L Markvart | Social Worker | 5497 W Waterford Ln Ste C, Appleton, WI 54913-8489 | 2017-10-30 |
| 1669823381 | Andrea Guenther-pal | Social Worker | 477 S Nicolet Rd Ste 1, Appleton, WI 54914-8270 | 2016-06-23 |
| 1245617679 | Michelle Lee Van Thiel I | Social Worker | N9487 County Rd N, Appleton, WI 54915-9316 | 2015-05-06 |
| 1720428030 | Andrea F Fralin | Social Worker | 4635 W College Ave, Appleton, WI 54914-8507 | 2013-07-01 |
| 1417200981 | Shereen E Leroy | Social Worker | 14 Tri Park Way Bldg 2, Appleton, WI 54914-6445 | 2012-10-22 |
| 1619243219 | Kristy L Robb | Social Worker | 412 E Longview Dr Ste C, Appleton, WI 54911-2168 | 2012-03-28 |
| 1891077806 | Breanna L Vonck-arndt | Social Worker | 424 E Longview Dr Ste A, Appleton, WI 54911 | 2011-09-15 |
| 1275708497 | Kathryn Augusta Blanker | Social Worker | 14 Tri Park Way, Bldg 2, Appleton, WI 54914-6430 | 2008-04-29 |
| 1902019763 | Kristina Starr Davis | Social Worker | 300 N Woods Edge Dr, Appleton, WI 54914-3149 | 2007-05-08 |
| Find all providers in APPLETON | ||||
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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.