SHELLEY S LICURSE (NPI# 1811212921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811212921 |
| Entity Type | Individual |
| Full Name | SHELLEY S LICURSE |
| Credential | LCSW |
| Practice Address |
1330 E Washington St Syracuse NY 13210-1173 |
| Practice Telephone | 3154265959 |
| Practice Fax Number | 3154265995 |
| Mailing Telephone | 3154265959 |
| Mailing Fax Number | 3154265995 |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2010-03-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
R019982 | NY | Behavioral Health & Social Service Providers |
| Street Address |
1330 E WASHINGTON ST |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13210-1173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164914974 | Erica Darin | Registered Nurse | 1330 E Washington St, Syracuse, NY 13210-1173 | 2018-06-06 |
| 1558802363 | Tracy Ceruti-owens | Licensed Practical Nurse | 1330 E Washington St, Syracuse, NY 13210-1173 | 2017-03-13 |
| 1114373669 | Kathryn Printup | Counselor | 1330 E Washington St, Syracuse, NY 13210-1173 | 2016-05-13 |
| 1568867703 | Vanessa Benton | Social Worker | 1330 E Washington St, Syracuse, NY 13210-1173 | 2014-10-30 |
| 1376973990 | Sean Ahern | Social Worker | 1330 E Washington St, Syracuse, NY 13210-1173 | 2013-11-18 |
| 1346674108 | Kimberly T Cass | Social Worker | 1330 E Washington St, Syracuse, NY 13210-1173 | 2013-08-29 |
| 1336489665 | Pierre Noel Cabrera | Registered Nurse | 1330 E Washington St, Syracuse, NY 13210-1173 | 2013-02-23 |
| 1346599172 | Neda Spasevski | Registered Nurse | 1330 E Washington St, Syracuse, NY 13210-1173 | 2012-09-07 |
| 1255638847 | Judith Tolpa King | Registered Nurse | 1330 E Washington St, Syracuse, NY 13210-1173 | 2011-02-17 |
| 1417266529 | Regina Canuso | Clinical Nurse Specialist | 1330 E Washington St, Syracuse, NY 13210-1173 | 2010-10-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558973586 | Maizie Marie Shaw | Social Worker | 660 Madison Street, Syracuse, NY 13210 | 2020-08-20 |
| 1427666916 | Christine Marie Welker | Registered Nurse | 735 Irving Avenue, Syracuse, NY 13210 | 2020-07-21 |
| 1386263994 | Ashwini Krishna Ashwath | Student in an Organized Health Care Education/Training Program | 750 E. Adams Street, Syracuse, Ny 13210, Syracuse, NY 13210 | 2020-04-14 |
| 1073142329 | Kamala Ojha | Student in an Organized Health Care Education/Training Program | 750-east Adam's Street, Syracuse, NY 13210 | 2020-04-07 |
| 1003442369 | Brittany Nicole Lippert | Counselor | 615 Madison St, Syracuse, NY 13210 | 2020-03-19 |
| 1902430499 | Dkt Physician Pllc | Internal Medicine | 475 Irving Ave, Suite 410, Syracuse, NY 13210 | 2020-02-24 |
| 1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
| 1265099022 | Michelle Gallagher | Psychologist | Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 | 2019-05-28 |
| 1639659428 | Francesca Wanda Cotrupe | Physical Medicine & Rehabilitation | Upstate Medical University Hospital, 750 E Adams Street, Syracuse, NY 13210 | 2018-08-21 |
| 1700370327 | Dallin Lindahl | Physical Medicine & Rehabilitation | 750 E Adams St # Jh308, Syracuse, NY 13210 | 2018-06-18 |
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| 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 |
|---|---|---|---|---|
| 1558973586 | Maizie Marie Shaw | Social Worker | 660 Madison Street, Syracuse, NY 13210 | 2020-08-20 |
| 1063023265 | Jessica Kaye Bouges | Social Worker | 821 E Brighton Ave Apt 802, Syracuse, NY 13205-2508 | 2020-08-11 |
| 1164044087 | Ednita Marie Wright | Social Worker | 135 Alanson Rd, Syracuse, NY 13207-1503 | 2020-05-13 |
| 1801416383 | Sara Danielle Mcalister | Social Worker | 5133 Kasson Rd, Syracuse, NY 13215-8623 | 2020-04-24 |
| 1598392110 | Jean M Burdick | Social Worker | 6900 Thompson Rd, Syracuse, NY 13211-1328 | 2020-03-24 |
| 1013491737 | Patrick Alvin Ryan | Social Worker | 602 Crossett St, Syracuse, NY 13207-1250 | 2018-09-18 |
| 1881182020 | Diandra Morse | Social Worker | 3532 James St Ste 112, Syracuse, NY 13206-2547 | 2018-04-24 |
| 1083122311 | Amber Oliver | Social Worker | 307 Cambridge Ave, Syracuse, NY 13208-1446 | 2018-01-22 |
| 1700394152 | Celia Kamps, Lcsw, Pllc | Social Worker | 2507 James St Ste 206, Syracuse, NY 13206-2825 | 2018-01-19 |
| 1699283770 | Karla Beth Murphy | Social Worker | 635 Madison Street, Syracuse, NY 13210 | 2018-01-11 |
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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.