KERRY ANN SHAUGHNESSY (NPI# 1740826593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740826593 |
| Entity Type | Individual |
| Full Name | KERRY ANN SHAUGHNESSY |
| Credential | LICSW |
| Practice Address |
3516 S 47th St Ste 203 Tacoma WA 98409-4475 |
| Practice Telephone | 2535727888 |
| Practice Fax Number | 2535727727 |
| Mailing Telephone | 2535727888 |
| Mailing Fax Number | 2535727727 |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2020-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
60599869 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | SOCIAL WORKER INDEPENDENT CLINICAL LICENSE | 60599869 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2500 116th Ave Ne Ste 1, Bellevue, WA 980041423 | 4254621612 | 4254629268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336438753 | Kerry Kathleen Shaughnessy | Dermatology | 600 Village Square Xing, Palm Beach Gardens, FL 33410-4543 | 2011-04-06 |
| 1154586022 | Kerry Shaughnessy | Clinic/Center | 137 Aero Camino, Goleta, CA 93117-3149 | 2008-07-21 |
| Street Address |
3516 S 47TH ST STE 203 |
| City | TACOMA |
| State | WA |
| Zip Code | 98409-4475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982214052 | Katie Lynn Bass | Social Worker | 3516 S 47th St Ste 203, Tacoma, WA 98409-4475 | 2020-08-04 |
| 1497364582 | Kelly Kalalau | Social Worker | 3516 S 47th St Ste 203, Tacoma, WA 98409-4475 | 2020-07-24 |
| 1437767001 | Rachel Lorraine Snodgrass | Marriage & Family Therapist | 3516 S 47th St Ste 203, Tacoma, WA 98409-4475 | 2020-07-20 |
| 1790393387 | Sarah Kristen Trott | Counselor | 3516 S 47th St Ste 203, Tacoma, WA 98409-4475 | 2020-07-20 |
| 1598373128 | Amy Lynne Jonson | Counselor | 3516 S 47th St Ste 203, Tacoma, WA 98409-4475 | 2020-07-20 |
| 1720696669 | Janelle Renae Dittus | Social Worker | 3516 S 47th St Ste 203, Tacoma, WA 98409-4475 | 2020-07-16 |
| 1508491697 | Olive Crest | Community/Behavioral Health | 3516 S 47th St Ste 203, Tacoma, WA 98409-4475 | 2020-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053942805 | Terah Jo Barker | Behavior Technician | 4301 South Pine St., Suite 505, Tacoma, WA 98409 | 2020-01-30 |
| 1427526797 | Carrissa Bentley | Social Worker | 3901 S. Fife Street, Tacoma, WA 98409 | 2018-11-05 |
| 1396255972 | Julie Ann Sunada | Nurse Practitioner | 2505 S 38th St Ste 109, Tacoma, WA 98409 | 2017-10-09 |
| 1306389820 | Laura Town | Chiropractor | 3640 S Cedar St, Ste P, Tacoma, WA 98409 | 2016-12-01 |
| 1114476082 | Chelsea Marie Jensen | Massage Therapist | 701 Commerce Street Apartment 307, Tacoma, WA 98409 | 2016-10-03 |
| 1831574730 | Artika Naidu | Optometrist | 4502 South Steele #700, Located Inside Macy's Lenscrafters, Tacoma, WA 98409 | 2015-07-22 |
| 1972918399 | Tacoma Dental and Implant Center Ps | Clinic/Center | 4704 South Oakes St #103, Tacoma, WA 98409 | 2014-06-24 |
| 1457795957 | Ana Amparo Penas Vasquez | Clinical Nurse Specialist | 2505 South 38th St, Bldg A Suite 109, Tacoma, WA 98409 | 2013-04-26 |
| 1033452156 | Richard William Solitaire | Counselor | 4301 S. Pine St., 30-19, Tacoma, WA 98409 | 2013-03-27 |
| 1790042810 | Tara Kerin Garland | Counselor | 5921 S. Verde St., Tacoma, WA 98409 | 2012-04-13 |
| Find all providers in zip 98409 | ||||
| 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 |
|---|---|---|---|---|
| 1144827551 | Heidi Elizabeth Hartz | Social Worker | 9040 Jackson Ave Joint Base Lewis-mcchord, Tacoma, WA 98431-0001 | 2020-10-08 |
| 1184241556 | Michele Therese Peyton | Social Worker | 4652 E Q St, Tacoma, WA 98404-4528 | 2020-07-01 |
| 1689293433 | Zowa Saysan Thompson | Social Worker | 4847 S 7th St, Tacoma, WA 98405-1206 | 2020-04-12 |
| 1548898638 | Cimberleigh Mclean | Social Worker | 2367 Tacoma Ave S Ofc 211, Tacoma, WA 98402 | 2020-04-01 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1669039897 | Katherine Marie Ginn | Social Worker | 1402 S 11th St, Tacoma, WA 98405-3608 | 2019-05-22 |
| 1285112763 | Sheri Lynn Waller | Social Worker | 535 Dock St Ste 108, Tacoma, WA 98402-4629 | 2018-08-06 |
| 1003312612 | Jennifer I. Soto | Social Worker | 1432 N Baltimore St, Tacoma, WA 98406-2702 | 2018-04-03 |
| 1295233955 | Lori A Jensen | Social Worker | 317 M.l.k. Jr Way, Tacoma, WA 98405 | 2018-01-29 |
| 1669927430 | Charlotte Marie Jones | Social Worker | 1343 E 51st St, Tacoma, WA 98404-3615 | 2016-08-22 |
| Find all providers in TACOMA | ||||
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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.