MARY ANN SHINNICK


Address: 4004 Carlisle Blvd Ne, Suite J, Albuquerque, NM 87107-4565
Phone: 5054597565

MARY ANN SHINNICK (NPI# 1821083130) 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) 1821083130
Entity Type Individual
Full Name MARY ANN SHINNICK
Credential LISW
Practice Address 4004 Carlisle Blvd Ne
Suite J
Albuquerque
NM 87107-4565
Practice Telephone 5054597565
Practice Fax Number 5052945887
Mailing Telephone 5054597565
Mailing Fax Number 5052945887
Enumeration Date 2005-09-13
Last Update Date 2013-04-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker I04569 NM Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NM 100096 05

Office Location

Street Address 4004 CARLISLE BLVD NE
SUITE J
City ALBUQUERQUE
State NM
Zip Code 87107-4565

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831420876 Mindful Counseling LLC Community/Behavioral Health 4004 Carlisle Blvd Ne, Albuquerque, NM 87107-4565 2010-01-14
1851547442 Karen Davidson Psychologist 4004 Carlisle Blvd Ne, Albuquerque, NM 87107-4565 2008-08-14
1528234267 Tatanyiea Trujillo Massage Therapist 4004 Carlisle Blvd Ne, Suite K, Albuquerque, NM 87107-4565 2008-05-02
1023135282 Kimberly Brasher Counselor 4004 Carlisle Blvd Ne, Suite Q, Albuquerque, NM 87107-4544 2007-03-23
1316097736 David Joseph Lacourt Psychologist 4004 Carlisle Blvd Ne, Suite F, Albuquerque, NM 87107-4565 2007-01-10
1679646442 Ann Lowrey Yeager Counselor 4004 Carlisle Blvd Ne, Suite T, Albuquerque, NM 87107-4565 2006-11-17
1629140777 Body & Skin Clinic Inc Chiropractor 4004 Carlisle Blvd Ne, Suite S, Albuquerque, NM 87107-4565 2006-11-14
1902836067 David Bigden Chiropractor 4004 Carlisle Blvd Ne, Suite S, Albuquerque, NM 87107-4565 2006-07-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619589785 Benjamin Argant Behavior Technician 331 Candelaria Road North East Suite A, Albuquerque, NM 87107 2020-08-20
1679138861 Susan Luna, Lpcc LLC Counselor 3221 B Candelaria Ne, Albuquerque, NM 87107 2019-05-03
1407310881 Eleanor Cloe Tibbetts Speech-Language Pathologist 7103 4th St. Nw Chatterbox Speech Therapy, Los Ranchos, NM 87107 2019-01-30
1386174829 Triple D Medical Transportation, LLC. Secured Medical Transport (VAN) 2123 Menaul Blvd Ne Ste B, Albuquerque, NM 87107 2017-06-18
1487100715 Kayleen Weinandt Community/Behavioral Health 3301 Los Arboles Ne, Albuquerque, NM 87107 2016-08-28
1811345549 Inverse Medical, LLC Non-emergency Medical Transport (VAN) 1015 Cottonwood Dr. Suite J, Albuquerque, NM 87107 2016-06-03
1710349220 Evolv Strong, LLC Specialist/Technologist 3201 Candelaria Rd Ne, Albuquerque, NM 87107 2016-03-23
1982072443 Erik Robinson Social Worker 7801 Academy Road, Ne 2-200, Albueruque, NM 87107 2015-09-14
1033505763 Sam Newmon Ma, Lpcc Counselor 320-h Osuna Rd Ne, Suite 4, Albuquerque, NM 87107 2015-04-09
1760896203 Jocelyn Fiaschetti Social Worker 7704 4th Street Nw, Albuquerque, NM 87107 2014-06-12
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Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194355974 Nicole Marie Padilla Social Worker 652 Vista Lejos Ln Sw, Albuquerque, NM 87121-8980 2020-01-21
1184261539 Theresa Annette Bustos Social Worker 1900 Atrisco Dr Nw, Albuquerque, NM 87120-1146 2019-12-04
1437793395 Stephanie Molina Social Worker 2440 Louisiana Blvd Ne Ste 300, Albuquerque, NM 87110-4394 2019-11-04
1639727571 Celina Miera Social Worker 119 Industrial Ave Ne, Albuquerque, NM 87107-2283 2019-09-03
1174170955 Stephanie Michele Camfield Social Worker 5323 Menaul Blvd Ne, Albuquerque, NM 87110-3113 2019-08-26
1336703156 Edwin Vargas Social Worker 2617 Juan Tabo Blvd Ne Ste D, Albuquerque, NM 87112-2967 2019-04-26
1134690886 Francisco Bussetti Social Worker 317 Panorama Pl Ne, Albuquerque, NM 87123-2128 2018-12-06
1962987925 Tania L Goldfeder Social Worker New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 2018-09-26
1841774122 Mona Ramlawi Social Worker 2900 Louisiana Blvd Ne Ste A2, Albuquerque, NM 87110-3550 2018-09-21
1154808012 Catalina Castro Social Worker 209 San Pablo Se, Albuquerque, NM 87108 2018-07-24
Find all providers in ALBUQUERQUE

Competitor

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City ALBUQUERQUE
Zip Code 87107

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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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