SELINA SHANKS (NPI# 1740699370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740699370 |
| Entity Type | Individual |
| Full Name | SELINA SHANKS |
| Practice Address |
232 Market St Ste 228 Flowood MS 39232-3339 |
| Mailing Address |
223 Swan Lake Dr Jackson MS 39212-5337 |
| Practice Telephone | 6014600730 |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C5911 | MS | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 223 Swan Lake Dr, Jackson, MS 392125337 | 6014548437 |
| Street Address |
232 MARKET ST STE 228 |
| City | FLOWOOD |
| State | MS |
| Zip Code | 39232-3339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164071775 | Leanna Nicole Howard | Social Worker | 2945 Layfair Drive, Apt. 1621, Flowood, MS 39232 | 2019-09-06 |
| 1104395565 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 4800 Lakeland Drive, Flowood, MS 39232 | 2018-11-15 |
| 1285101816 | Magnolia Anesthesia Consultants LLC | Anesthesiology | 4209 Lakeland Dr #252, Flowood, MS 39232 | 2018-11-01 |
| 1528543592 | Matthew T Armstrong | Physical Therapist | 104 Burney Drive, Flowood, MS 39232 | 2018-09-26 |
| 1790265627 | Mississippi Brain and Spine, Pllc | Non-Pharmacy Dispensing Site | 1 Layfair Drive, Ste 120, Flowood, MS 39232 | 2018-08-20 |
| 1629574918 | Billy Clifton Osbon Jr. | Pharmacist | 2506 Lakeland Drive, Suite 201, Flowood, MS 39232 | 2018-04-04 |
| 1356851752 | Oakdale Family Dentistry | Clinic/Center | 2139 Hwy 471, Flowood, MS 39232 | 2017-10-11 |
| 1992227177 | Charisma T. Cummings | Nurse Practitioner | 102 Riverview Drive, Suite A, Flowood, MS 39232 | 2017-07-10 |
| 1508398983 | Charles Pearson | Student in an Organized Health Care Education/Training Program | 764 Flowood Dr, Flowood, MS 39232 | 2017-04-03 |
| 1396288197 | Mary Claire Ponder | Nurse Practitioner | 151 E Metro Dr Ste 103, Flowood, MS 39232 | 2016-11-28 |
| Find all providers in zip 39232 | ||||
| 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 |
|---|---|---|---|---|
| 1245842657 | Ladonna S Day | Social Worker | 105 Hogg Creek Dr Unit 321073, Flowood, MS 39232-3152 | 2020-08-18 |
| 1164071775 | Leanna Nicole Howard | Social Worker | 2945 Layfair Drive, Apt. 1621, Flowood, MS 39232 | 2019-09-06 |
| 1801308382 | Shameika Davis | Social Worker | 517 Keywood Cir Ste 2b, Flowood, MS 39232-3054 | 2017-10-24 |
| 1609270123 | Ruth Walker | Social Worker | 4701 Lakeland Dr, #37b, Flowood, MS 39232-9506 | 2014-10-13 |
| 1629352851 | Melissa N Reynolds | Social Worker | 209 E Layfair Dr, Flowood, MS 39232-9527 | 2011-10-06 |
| 1760662050 | Diane Lynne Braman | Social Worker | 499 Keywood Cir Ste B, Flowood, MS 39232-3001 | 2007-11-05 |
| 1508483793 | Healing Pathways Counseling, LLC | Social Worker | 499 Keywood Cir Ste B, Flowood, MS 39232-3001 | 2020-07-03 |
| 1730709478 | The River Wellness LLC | Social Worker | 625 Lakeland East Dr Ste A, Flowood, MS 39232-8817 | 2020-04-23 |
| 1013492933 | Katherine Woodley | Social Worker | 499 Keywood Cir Ste B, Flowood, MS 39232-3001 | 2018-09-26 |
| 1225408115 | Tiffiney Hill | Social Worker | 232 Market St, Flowood, MS 39232-3339 | 2015-10-05 |
| Find all providers in FLOWOOD | ||||
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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.