SHANNON MCLOUGHLIN DALEY (NPI# 1760521538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760521538 |
Entity Type | Individual |
Full Name | SHANNON MCLOUGHLIN DALEY |
Credential | APN |
Practice Address |
654 E Jersey St Elizabeth NJ 07206-1261 |
Practice Telephone | 9089947290 |
Practice Fax Number | 9089947054 |
Mailing Telephone | 9089947290 |
Mailing Fax Number | 9089947054 |
Enumeration Date | 2007-02-06 |
Last Update Date | 2013-03-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
26NCO4273800 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
654 E JERSEY ST |
City | ELIZABETH |
State | NJ |
Zip Code | 07206-1261 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861464364 | Joseph Marc Verret | Psychiatry & Neurology | 654 E Jersey St, Elizabeth, NJ 07206-1261 | 2006-02-07 |
1447731005 | Maria A Santiago | Social Worker | 654 E Jersey St, Elizabeth, NJ 07206-1261 | 2018-08-22 |
1821574203 | Jessica Ann Jordan | Social Worker | 654 E Jersey St, Elizabeth, NJ 07206-1261 | 2018-07-18 |
1336625904 | Kristina M. Lee | Social Worker | 654 E Jersey St, Elizabeth, NJ 07206-1261 | 2018-07-17 |
1023523529 | Lisa Rose Mcdermott | Counselor | 654 E Jersey St, Elizabeth, NJ 07206-1261 | 2017-12-06 |
1093228389 | Jenna Rae Mccook | Social Worker | 654 E Jersey St, Elizabeth, NJ 07206-1261 | 2017-11-09 |
1396272142 | Victoria Blom | Social Worker | 654 E Jersey St, Suite 150c, Elizabeth, NJ 07206-1261 | 2017-05-11 |
1689031171 | Mindy Altschul | Social Worker | 654 E Jersey St, Elizabeth, NJ 07206-1261 | 2016-01-28 |
1174943104 | Jo-ann May Tan | Social Worker | 654 E Jersey St, Elizabeth, NJ 07206-1261 | 2014-04-17 |
1760809065 | Sonia Granato | Counselor | 654 E Jersey St, Elizabeth, NJ 07206-1261 | 2014-03-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235791310 | Mars Premier Care LLC | Day Training, Developmentally Disabled Services | 210 Monsignor Kemezis Place, Elizabeth, NJ 07206 | 2019-06-28 |
1588151898 | Kathleen Michelle Dewyke | Psychiatry & Neurology | 654 East Jersey St, Residency Program, Elizabeth, NJ 07206 | 2018-04-23 |
1043501265 | Kathreen Tharwat Tadrous | Psychiatry & Neurology | 655 E. Jersey Sreet, Trinitas Regional Medical Center, Elizabeth, NJ 07206 | 2011-04-21 |
1558683987 | Susan Nestler Wohlgemuth | Counselor | 654 East Jersey St., Trinitas Hospital, Elizabeth, NJ 07206 | 2010-02-26 |
1053540807 | Krista Shea Hasenfus | Social Worker | 655 East Jersey Street, Elizabeth, NJ 07206 | 2009-07-14 |
1396940193 | Danielle Pompey | Social Worker | 655 East Jersey Stereet, Dept. Behavioral Health & Psychiatry, Elizabeth, NJ 07206 | 2007-06-20 |
1114138757 | Trinitas Regional Medical Center | Psychiatric Unit | 655 Livingston Avenue, Trinitas Hiv Clinc, Elizabeth, NJ 07206 | 2007-05-25 |
1376661264 | Patricia F. Traynham | Registered Nurse | New Point Campus, 655 East Jersey Avenue, Elizabeth, NJ 07206 | 2007-03-27 |
1629165204 | Trinitas Regional Medical Center | General Acute Care Hospital | 655 E Jersey Street, Youth Case Management, Elizabeth, NJ 07206 | 2006-10-06 |
1184719312 | Trinitas Regional Medical Center | General Acute Care Hospital | 655 E. Jersey Street, Residential Services, Elizabeth, NJ 07206 | 2006-10-04 |
Find all providers in zip 07206 |
Taxonomy Code | 364SP0809X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Psych/Mental Health, Adult |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386119105 | Nancy Cursi-vogle | Clinical Nurse Specialist | 16 Kayser Ln, West Orange, NJ 07052-1151 | 2018-10-08 |
1841565801 | Well Path, LLC. | Clinical Nurse Specialist | 110 Sylvan Ave, Gloucester City, NJ 08030-1634 | 2012-03-09 |
1659543684 | Karen Angela Maxim | Clinical Nurse Specialist | 314 East State Street, Trenton, NJ 08608 | 2008-03-31 |
1225229321 | Wellness Group of New Jersey | Clinical Nurse Specialist | 400d Lake St, Suite 2, Ramsey, NJ 07446-1279 | 2007-08-05 |
1902027121 | Sue Kujalowicz | Clinical Nurse Specialist | 1935 Axton Ave, Union, NJ 07083 | 2007-05-02 |
1326261819 | Rosemarie G Marcus | Clinical Nurse Specialist | 240 Frisch Ct, Childrens Aid & Family Services Inc, Paramus, NJ 07652-5248 | 2007-04-11 |
1083762173 | Carol Joan Goldblatt I | Clinical Nurse Specialist | 117-119 Roosevelt Ave, Plainfield, NJ 07060 | 2007-01-08 |
1932277241 | Suzanne Drake | Clinical Nurse Specialist | 400 D Lake Street, Suite 2, Ramsey, NJ 07446-1243 | 2006-12-04 |
1740354554 | Mary Ann Lancaster | Clinical Nurse Specialist | 500 North Bridge Street, Richard Hall Community Mental Health Center, Bridgewater, NJ 08807 | 2006-11-20 |
1720178999 | Patricia Shadek | Clinical Nurse Specialist | 25 Lindsley Dr Ste 203, Morristown, NJ 07960 | 2006-10-16 |
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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.