SUE SHOTLAND


Address: 104 Walnut Ave, Santa Cruz, CA 95060-3900
Phone: 8314239444

SUE SHOTLAND (NPI# 1780196147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780196147
Entity Type Individual
Full Name SUE SHOTLAND
Credential LCSW
Practice Address 104 Walnut Ave
Santa Cruz
CA 95060-3900
Mailing Address 227 San Juan Ave
Santa Cruz
CA 95062-1241
Practice Telephone 8314239444
Mailing Telephone 8312398421
Enumeration Date 2017-10-25
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
LCSW7658 CA Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
227 San Juan Ave, Santa Cruz, CA 950621241 8312398421

Office Location

Street Address 104 WALNUT AVE
City SANTA CRUZ
State CA
Zip Code 95060-3900

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730255860 Rina Weingold Counselor 104 Walnut Ave, Suite 208, Santa Cruz, CA 95060-3900 2006-11-28
1649803214 Micah Hammond Counselor 104 Walnut Ave, Santa Cruz, CA 95060-3900 2020-02-21
1457804502 Ariel Thiermann Stahl Marriage & Family Therapist 104 Walnut Ave, Suite 208, Santa Cruz, CA 95060-3900 2016-07-25
1780067124 Christiane Hanna Hammerli Student in an Organized Health Care Education/Training Program 104 Walnut Ave, Suite 208, Santa Cruz, CA 95060-3900 2015-07-02
1831572387 Anudeva Stevens Student in an Organized Health Care Education/Training Program 104 Walnut Ave, Suite 208, Santa Cruz, CA 95060-3900 2015-07-01
1467830588 Nereida Rodriguez Counselor 104 Walnut Ave, Suite 208, Santa Cruz, CA 95060-3900 2015-05-08
1215327697 Stephen Otto Marriage & Family Therapist 104 Walnut Ave, 208, Santa Cruz, CA 95060-3900 2015-01-23
1558765545 Maggie Wilson Marriage & Family Therapist 104 Walnut Ave, #208, Santa Cruz, CA 95060-3900 2014-10-20
1184027096 Shannon Swanston Counselor 104 Walnut Ave, Suite 208, Santa Cruz, CA 95060-3900 2014-10-06
1316340722 Rasa Tavangar Marriage & Family Therapist 104 Walnut Ave, Santa Cruz, CA 95060-3900 2014-09-30
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366940215 Tiphanie Bowens Counselor 380 Encinal St., Suite 200, Santa Cruz, CA 95060 2018-01-25
1942714167 Kyle Hardwick Chiropractor 203 River Street, Santa Cruz, CA 95060 2017-11-27
1972015741 Nina Marie Francesconi Acupuncturist 110 Fern St Apt. C, Santa Cruz, CA 95060 2017-11-01
1679091870 Laura Evelyn Rochelle Counselor 380 Encinal St., Suit 200, Santa Cruz, CA 95060 2017-09-07
1649797903 Jessica Tarnoff Counselor 716 Ocean St., Santa Cruz, CA 95060 2017-08-28
1356862064 Lakia Niema Queen Counselor 542 Ocean Street Suite K, Santa Cruz, CA 95060 2017-07-03
1023555992 Allison Whitehead Nurse Practitioner 1080 Emeline Ave., County of Santa Cruz Health Services Agency, Santa Cruz, CA 95060 2017-01-30
1659827293 Annabelle Drda Marriage & Family Therapist 303 Portero St, Santa Cruz, CA 95060 2016-09-01
1376999698 Erin Liana Johnson Counselor 104 Walnut Avenue, Suite 208, Santa Cruz, CA 95060 2016-05-05
1659732097 Daniel Ezekiel Contreras Counselor 1080 Emeline Building D, Santa Cruz, CA 95060 2016-03-13
Find all providers in zip 95060

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023621067 Adiari Torres Social Worker 402 Dakota Ave Apt 8, Santa Cruz, CA 95060-4122 2020-08-28
1487273645 Victoria Jeanne Dzorka Social Worker 125 Water St Ste A2, Santa Cruz, CA 95060-2786 2020-04-08
1245876002 Steven C Weiss Social Worker 1740 17th Ave, Santa Cruz, CA 95062-1804 2019-11-26
1528610581 Melanie Jayne Stern Social Worker 429 Continental St, Santa Cruz, CA 95060-6070 2019-07-10
1902466469 Neil David Brown Social Worker 550 Water St Ste D2, Santa Cruz, CA 95060-4129 2019-06-17
1659851525 Vincent J Oviedo Social Worker 103 Auburn Ave, Santa Cruz, CA 95060-6231 2018-08-20
1124490347 Emily Fittante Social Worker 343 Soquel Ave #195, Santa Cruz, CA 95062 2015-10-27
1952788861 Jodi Mulder Social Worker 903 Pacific Ave Ste 200, Santa Cruz, CA 95060-4461 2015-04-29
1073903050 Christina O'halloran Social Worker 143 Stockton Ave, Santa Cruz, CA 95060-6219 2015-01-29
1972900538 Katrina Tattenham Social Worker 1200 Capitola Rd Apt 21, Santa Cruz, CA 95062-2945 2014-11-25
Find all providers in SANTA CRUZ

Competitor

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City SANTA CRUZ
Zip Code 95060

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Dataset Information

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.

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