TAMARA SHELLEY (NPI# 1760774251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760774251 |
| Entity Type | Individual |
| Full Name | TAMARA SHELLEY |
| Credential | LMSW |
| Practice Address |
420 W 5th Ave Flint MI 48503 |
| Mailing Address |
1221 Wreckenridge Rd Flint MI 48532-3232 |
| Practice Telephone | 8102573676 |
| Mailing Telephone | 8104104572 |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2013-11-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801092890 | MI | Behavioral Health & Social Service Providers |
| Street Address |
420 W 5TH AVE |
| City | FLINT |
| State | MI |
| Zip Code | 48503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235115460 | County of Genesee Office of Controller | Preventive Medicine | 420 W 5th Ave, Flint, MI 48503 | 2005-12-20 |
| 1245837640 | Angela Marie Strom | Registered Nurse | 420 W 5th Ave, Flint, MI 48503-2445 | 2020-10-08 |
| 1841897246 | Avalena Ann Lessard | Case Manager/Care Coordinator | 420 W 5th Ave, Flint, MI 48503-2445 | 2020-10-08 |
| 1891309258 | Dawn Michelle Smith | Social Worker | 420 W 5th Ave, Flint, MI 48503-2445 | 2020-09-03 |
| 1881203834 | Teevia C Brown | Psychologist | 420 W 5th Ave, Flint, MI 48503-2445 | 2020-07-27 |
| 1811515018 | Tashara Monique Ewing | Case Manager/Care Coordinator | 420 W 5th Ave, Flint, MI 48503-2445 | 2020-07-14 |
| 1265053508 | Kaleea Preuss-harper | Case Manager/Care Coordinator | 420 W 5th Ave, Flint, MI 48503-2445 | 2020-04-28 |
| 1285269969 | Richard L Neenan IIi | Case Manager/Care Coordinator | 420 W 5th Ave, Flint, MI 48503-2445 | 2020-03-03 |
| 1518590405 | Erik Kahn | Case Manager/Care Coordinator | 420 W 5th Ave, Flint, MI 48503-2445 | 2020-02-19 |
| 1346870961 | Lanora Cooper | Case Manager/Care Coordinator | 420 W 5th Ave, Flint, MI 48503-2445 | 2020-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457971640 | Flint Odyssey House Inc. | Community/Behavioral Health | 1219 Martin Luther King Avenue, Flint, MI 48503 | 2020-04-17 |
| 1891265476 | Mary Margaret Woodruff | Health Educator | 411 E. Third St Suite 2, Flint, MI 48503 | 2018-11-27 |
| 1669942223 | Donna Jean Phelps | Behavior Technician | 2284 S Ballenger Highway, Flint, MI 48503 | 2018-11-27 |
| 1588150601 | Dayonna Scott | Social Worker | Hope Network, 2830 Corunna Rd, Flint, MI 48503 | 2018-07-02 |
| 1801388020 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2284 S Ballenger Hwy Ste F, Flint, MI 48503 | 2018-06-04 |
| 1134610504 | Swathi Gorle | Student in an Organized Health Care Education/Training Program | Hurley Medical Center, 1 Hurley Plaza, Flint, MI 48503 | 2018-05-22 |
| 1881128049 | Kara Garr | Registered Nurse | 805 Tuuri Pl, Flint, MI 48503 | 2017-04-14 |
| 1518405638 | Thomasinia Terrell | Peer Specialist | 422 W Fourth Ave, Flint, MI 48503 | 2017-02-09 |
| 1790231041 | Roslyn Boyce | Technician, Other | 2213 E. Court Street, Flint, MI 48503 | 2016-08-28 |
| 1689120818 | Yasmine Elhefnawy | Student in an Organized Health Care Education/Training Program | One Hurley Plaza 3d West, Flint, MI 48503 | 2016-08-28 |
| Find all providers in zip 48503 | ||||
| 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 |
|---|---|---|---|---|
| 1285244798 | Toyonna Robbins | Social Worker | 1045 Royalcrest Dr, Flint, MI 48532-3244 | 2020-08-10 |
| 1053920801 | Sarina Renee Harris | Social Worker | 2387 S Linden Rd Ste 137, Flint, MI 48532-5488 | 2020-07-28 |
| 1376167460 | Jaleesa Pouncil | Social Worker | 1296 Springborrow Dr, Flint, MI 48532-2171 | 2020-06-03 |
| 1427686153 | Seth A Kindel | Social Worker | 338 Allendale Pl, Flint, MI 48503-4850 | 2020-03-30 |
| 1801420708 | Stacey Allen | Social Worker | 5401 Gateway Ctr Ste D, Flint, MI 48507-3980 | 2020-02-28 |
| 1508428251 | Live Your Life Counseling & Treatment Services LLC | Social Worker | 653 S Saginaw St, Flint, MI 48502-1512 | 2019-07-02 |
| 1053871376 | Stones for Hope Pllc | Social Worker | G3500 Flushing Rd Ste 140, Flint, MI 48504-4235 | 2019-03-22 |
| 1467941740 | The Therapy Center for Wellness and Recovery LLP | Social Worker | 2503 S Linden Rd Ste 210, Flint, MI 48532-5449 | 2018-05-02 |
| 1184095242 | Jessica Dixon | Social Worker | 3600 S Dort Hwy Ste 54, Flint, MI 48507-2054 | 2015-10-15 |
| 1083080857 | Koaster Brim | Social Worker | 4212 Lennon Rd Ste 1, Flint, MI 48507-1080 | 2015-08-17 |
| Find all providers in FLINT | ||||
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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.