SHANNON WADEY (NPI# 1649613472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649613472 |
| Entity Type | Individual |
| Full Name | SHANNON WADEY |
| Other Name | SHANNON HARAN |
| Credential | LCSW |
| Practice Address |
24719 Se 101st Ave Hawthorne FL 32640-7663 |
| Practice Telephone | 3522154556 |
| Mailing Telephone | 3522154556 |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2015-02-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW 8595 | FL | Behavioral Health & Social Service Providers |
| Street Address |
24719 SE 101ST AVE |
| City | HAWTHORNE |
| State | FL |
| Zip Code | 32640-7663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306303169 | Althea Pontoon | In Home Supportive Care | 144 Prairie Drive, Hawthorne, FL 32640 | 2019-02-27 |
| 1013446475 | Divine Care Services LLC | Home Health Aide | 21212 Se 62nd Ave, Hawthorne, FL 32640 | 2017-06-08 |
| 1073968715 | Crista Marina Ana Lucia Rosborough | Specialist | 21403 Se 70th Ave, Hawthorne, FL 32640 | 2016-05-02 |
| 1952781387 | Neil Franklin Letts | Ophthalmology | 160 Little Orange Lake Drive, Hawthorne, FL 32640 | 2015-06-01 |
| 1750575056 | Lenise Valma Thomas | Licensed Practical Nurse | 109 Juniper Drive, Hawthorne, FL 32640 | 2007-08-29 |
| 1023138708 | Brian Christopher Creghan I | Physician Assistant | 6435 Se Hwy 301, Hawthorne, FL 32640 | 2007-03-29 |
| 1275627275 | Charles Edward Peele | Chiropractor | 6005 Se Hwy 301, Suite 405a, Hawthorne, FL 32640 | 2006-10-03 |
| 1093123614 | Joseph J Ciccio | Physical Therapist | 19804 Ne 22nd Ln, Hawthorne, FL 32640-2900 | 2014-07-28 |
| 1073912184 | Kristen Tiurchy | Occupational Therapist | 19804 Ne 22nd Ln, Hawthorne, FL 32640-2900 | 2014-08-14 |
| 1306347919 | Myia Mccloud | Licensed Practical Nurse | 22421 Se 59th Pl, Hawthorne, FL 32640-3616 | 2018-02-28 |
| Find all providers in zip 32640 | ||||
| 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 |
|---|---|---|---|---|
| 1275034548 | Erika Hernandez | Social Worker | 121 Rea Avenue, Hawthorne, NJ 07506 | 2018-02-22 |
| 1780196170 | Serenity Counseling & Wellness | Social Worker | 90 3rd Ave # 2, Hawthorne, NJ 07506-2414 | 2017-10-25 |
| 1700275625 | Ellis Vernon IIi | Social Worker | 2311 W. El Segundo Blvd, Hawthorne, CA 90250 | 2015-01-15 |
| 1679973770 | Jill A. Connolly | Social Worker | 116 N 19th St, Hawthorne, NJ 07506-3505 | 2014-08-26 |
| 1235551276 | Catharine Willets | Social Worker | 159 Parker Ave, Hawthorne, NJ 07506-1140 | 2014-01-10 |
| 1558701821 | Stephanie Sharon Hernandez | Social Worker | 151 Parker Ave, Hawthorne, NJ 07506-1140 | 2013-07-01 |
| 1598109332 | Belgica Rosario | Social Worker | 121 Rea Ave, Hawthorne, NJ 07506 | 2013-04-23 |
| 1780926709 | Dorothy Ellen Tagarelli | Social Worker | 268 Myrtle Ave, Hawthorne, NY 10532-2001 | 2013-03-18 |
| 1760722979 | Deborah Ann Basilio | Social Worker | 17 Fairview Ave, Hawthorne, NJ 07506-3013 | 2013-02-25 |
| 1184902066 | Angela Leniece Body | Social Worker | 2509 W 115th St, Hawthorne, CA 90250-1962 | 2011-07-27 |
| Find all providers in HAWTHORNE | ||||
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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.