CHERRELLE N SHORTER (NPI# 1821582289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821582289 |
| Entity Type | Individual |
| Full Name | CHERRELLE N SHORTER |
| Credential | LCSW |
| Practice Address |
800 Ohio Ave Clarksdale MS 38614-7200 |
| Mailing Address |
Po Box 1216 Clarksdale MS 38614-1216 |
| Practice Telephone | 6626242504 |
| Practice Fax Number | 6626273629 |
| Mailing Telephone | 6626244292 |
| Mailing Fax Number | 6626244354 |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2020-06-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
677M | AR | Behavioral Health & Social Service Providers |
| Street Address |
800 OHIO AVE |
| City | CLARKSDALE |
| State | MS |
| Zip Code | 38614-7200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144227901 | Aaron E Henry Community Health | Clinic/Center | 800 Ohio Ave, Clarksdale, MS 38614-7200 | 2005-07-07 |
| 1730663949 | Aaron E. Henry Community Health Services Center, Inc | Clinic/Center | 800 Ohio Ave, Clarksdale, MS 38614-7200 | 2018-09-24 |
| 1831610914 | Erma Jean Hawkins | Nurse Practitioner | 800 Ohio Ave, Clarksdale, MS 38614-7200 | 2017-06-29 |
| 1831432277 | Aaron E Henry Community Health | Clinic/Center | 800 Ohio Ave, Clarksdale, MS 38614-7200 | 2013-04-04 |
| 1295088854 | Dorcas Poni Eshun | Pediatrics | 800 Ohio Ave, Clarksdale, MS 38614-7200 | 2012-10-19 |
| 1801199369 | Jeanette Ratliff | Registered Nurse | 800 Ohio Ave, Clarksdale, MS 38614-7200 | 2010-12-06 |
| 1710111034 | Jerry Deane Tankersley | Dentist | 800 Ohio Ave, Clarksdale, MS 38614-7200 | 2009-05-14 |
| 1952551665 | Bronwynn Claire Gist | Dental Hygienist | 800 Ohio Ave, Clarksdale, MS 38614-7200 | 2008-09-30 |
| 1538351200 | Glenda D Oden | Dietitian, Registered | 800 Ohio Ave, Clarksdale, MS 38614-7200 | 2007-08-15 |
| 1316979826 | Lula Owens Hoskins | Nurse Practitioner | 800 Ohio Ave, Clarksdale, MS 38614-7200 | 2006-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386265627 | Lillie Mae Lockett | Technician | 1025 Ritchie Ave, Clarksdale, MS 38614 | 2020-04-28 |
| 1063957751 | Autospa-healthy Youth Center | Nurse Practitioner | 1202 Desoto Ave, Suite A, Clarksdale, MS 38614 | 2017-01-04 |
| 1700226123 | Nikki Nikkia Cager | Internal Medicine | 785 Ohio Ave Ste 2d, Clarksdale, MS 38614 | 2013-06-29 |
| 1205186947 | Celestial Comfort Care Hospice | Hospice Care, Community Based | 110 Yazoo Ave. Suite 212, Clarksdale, MS 38614 | 2012-09-10 |
| 1063667129 | The Smile Center of Clarksdale | Clinic/Center | 526 Choctaw Street, Suites B & C, Clarksdale, MS 38614 | 2008-11-17 |
| 1801060033 | Clarksdale Municipal School District | Local Education Agency (LEA) | Gycelle Tynes Educational Center, Friars Point Road, Clarksdale, MS 38614 | 2008-04-18 |
| 1184806150 | Mary A Williams | Nurse Practitioner | 125 Highway 322, Clarksdale, MS 38614 | 2007-12-03 |
| 1114040367 | William F Wilson Jr. | Dentist | 850 Desoto Ave, Extended, Clarksdale, MS 38614 | 2007-04-10 |
| 1952434920 | Kathleen Tinnel | Nurse Practitioner | 2245 N State St, Clarksdale, MS 38614 | 2007-03-13 |
| 1497888457 | Carole L Mangrem | Pediatrics | 2245 N Starte St, Clarksdale, MS 38614 | 2007-03-13 |
| Find all providers in zip 38614 | ||||
| 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 |
|---|---|---|---|---|
| 1427657519 | Alana B. Williams | Social Worker | 527 Mockingbird Dr, Long Beach, MS 39560-3118 | 2020-10-20 |
| 1962019745 | Jennifer Baker Sheridan | Social Worker | 615 W Pine St, Hattiesburg, MS 39401-3835 | 2020-09-25 |
| 1093321192 | Kristy Lynn Staten | Social Worker | 506 W Marion Ave Ste A, Crystal Springs, MS 39059-2720 | 2020-09-23 |
| 1760098487 | Dominique Yvette Thomatis-williams | Social Worker | 4 Creekwood Pl, Jackson, MS 39211-2929 | 2020-09-17 |
| 1134731102 | Vicki Arlene Blaize | Social Worker | 178 Pat Harrison St, Biloxi, MS 39530-3425 | 2020-08-20 |
| 1245842657 | Ladonna S Day | Social Worker | 105 Hogg Creek Dr Unit 321073, Flowood, MS 39232-3152 | 2020-08-18 |
| 1962012468 | Debra Diann Wuichet | Social Worker | 503 Maury Cir, Tupelo, MS 38801-4109 | 2020-08-09 |
| 1982214458 | Devin Ariel Williams | Social Worker | 1246 Beverly Hills Rd Apt 306, Hattiesburg, MS 39401-4483 | 2020-08-08 |
| 1770193559 | Brian Droubay | Social Worker | 703 Meadowlake Cv, Oxford, MS 38655-9662 | 2020-08-05 |
| 1386265601 | Dconstance Woodard | Social Worker | 117 Ashley Park Dr, Byram, MS 39272-6558 | 2020-04-27 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSDALE |
| Zip Code | 38614 |
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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.