SHANNON GRACE BROCKERT (NPI# 1750882668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750882668 |
| Entity Type | Individual |
| Full Name | SHANNON GRACE BROCKERT |
| Practice Address |
30101 Hoover Rd Warren MI 48093-6572 |
| Mailing Address |
20601 Yale St Saint Clair Shores MI 48081-1779 |
| Practice Telephone | 5865586868 |
| Mailing Telephone | 5864608830 |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2019-02-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801102228 | MI | Behavioral Health & Social Service Providers |
| Street Address |
30101 HOOVER RD |
| City | WARREN |
| State | MI |
| Zip Code | 48093-6572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255405544 | Allan Harvey Morton | Internal Medicine | 30101 Hoover Rd, Warren, MI 48093-6572 | 2006-11-20 |
| 1982239265 | Amanda Kay Jung | Counselor | 30101 Hoover Rd, Warren, MI 48093-6572 | 2020-03-07 |
| 1417589805 | Tracy Lynne Harris | Counselor | 30101 Hoover Rd, Warren, MI 48093-6572 | 2020-02-04 |
| 1063043362 | Jennifer E. Warren | Social Worker | 30101 Hoover Rd, Warren, MI 48093-6572 | 2020-01-27 |
| 1144877085 | Sophie Michalak | Counselor | 30101 Hoover Rd, Warren, MI 48093-6572 | 2019-08-26 |
| 1063074854 | Alan Johns | Social Worker | 30101 Hoover Rd, Warren, MI 48093-6572 | 2019-07-02 |
| 1114586245 | Catherine Moritz | Social Worker | 30101 Hoover Rd, Warren, MI 48093-6572 | 2019-06-12 |
| 1790253813 | Arika Gregory | Counselor | 30101 Hoover Rd, Warren, MI 48093-6572 | 2018-11-06 |
| 1285135921 | Robert Allen Dickinson Jr. | Counselor | 30101 Hoover Rd, Warren, MI 48093-6572 | 2018-02-27 |
| 1164935144 | Andrea Michelle Berthet | Social Worker | 30101 Hoover Rd, Warren, MI 48093-6572 | 2017-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615986 | Toleka Regina Taylor | Nurse Anesthetist, Certified Registered | St. John Macomb Hospital, 11800 East 12 Mile Road, Warren, MI 48093 | 2020-10-05 |
| 1679112676 | Open Heart Communities | Case Management | 31310 Shaw Dr, Warren, MI 48093 | 2019-12-23 |
| 1538715636 | 3 Dove Medical Supplies | Durable Medical Equipment & Medical Supplies | 31201 Chicago Rd S Ste C101, Warren, MI 48093 | 2019-08-14 |
| 1568954600 | Schreiber Cardiology, P.C. | Internal Medicine | 8545 Common Rd Ste 150, Warren, MI 48093 | 2018-06-05 |
| 1730686197 | Lambro Seremetis | Social Worker | 12200 E. 12 Mile Road, Ste. 200, Warren, MI 48093 | 2018-04-11 |
| 1649775826 | Ridge Downs | Behavioral Analyst | 31201 Chicago Rd South, Suite C- 202, Warren, MI 48093 | 2018-03-28 |
| 1144722737 | Jessica Farraj | Occupational Therapist | 11800 E. 12 Mile Road, Warren, MI 48093 | 2018-02-28 |
| 1265930168 | Leah Hanrahan | Registered Nurse | 11700 Amberle Dr., Warren, MI 48093 | 2018-01-25 |
| 1598271553 | Pamela Marie Confer | Occupational Therapist | 11012 13 Mile Rd, Suite 200, Warren, MI 48093 | 2017-12-28 |
| 1831604347 | Kate Jeanne Szczepanski | Behavior Technician | 31200 Chicago Rd S, Warren, MI 48093 | 2017-12-06 |
| Find all providers in zip 48093 | ||||
| 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 |
|---|---|---|---|---|
| 1679188924 | Amanda Rubio | Social Worker | 20 Brownell St, Warren, RI 02885-1525 | 2020-09-14 |
| 1265069082 | Tellecia Nasha Wiggins | Social Worker | 13807 Martin Rd, Warren, MI 48088-6325 | 2020-03-23 |
| 1528541984 | Undercurrent Behavioral Health LLC | Social Worker | 12500 E 13 Mile Rd, Warren, MI 48093-5011 | 2018-09-12 |
| 1770071201 | Tacara Lakaisha Woods | Social Worker | 23543 Bolam Ave, Warren, MI 48089-2232 | 2018-04-30 |
| 1730686197 | Lambro Seremetis | Social Worker | 12200 E. 12 Mile Road, Ste. 200, Warren, MI 48093 | 2018-04-11 |
| 1740790625 | Steven Potje | Social Worker | 7177 Miller Dr Ste C, Warren, MI 48092-1699 | 2017-10-05 |
| 1225554082 | Michigan Adult Services 1 | Social Worker | 28673 Hoover Rd, Warren, MI 48093-4105 | 2017-08-14 |
| 1437675220 | Rana Shaia | Social Worker | 12200 E 13 Mile Rd # 200, Warren, MI 48093-3093 | 2017-08-14 |
| 1982134052 | Connell Joseph Rooney | Social Worker | 8 Angus Ln, Warren, NJ 07059-6739 | 2017-06-12 |
| 1972030278 | Elizabeth Ann Oaks | Social Worker | 8600 E Market St Ste 8, Warren, OH 44484-2375 | 2017-05-17 |
| Find all providers in WARREN | ||||
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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.