ASHLEY JO SHACKELTON (NPI# 1841765799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841765799 |
| Entity Type | Individual |
| Full Name | ASHLEY JO SHACKELTON |
| Practice Address |
1939 S Division Ave Grand Rapids MI 49507 |
| Practice Telephone | 6162473815 |
| Practice Fax Number | 6162450450 |
| Mailing Telephone | 6162473815 |
| Mailing Fax Number | 6162450450 |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2019-03-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801102222 | MI | Behavioral Health & Social Service Providers |
| Street Address |
1939 S DIVISION AVE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184751513 | Dennis Henry Ward | Social Worker | 1939 S Division Ave, Grand Rapids, MI 49507 | 2007-02-27 |
| 1932700135 | Mikayla Vogel | Social Worker | 1939 S Division Ave, Grand Rapids, MI 49507 | 2020-11-04 |
| 1558968982 | Caitlin Quantock | Social Worker | 1939 S Division Ave, Grand Rapids, MI 49507 | 2020-10-08 |
| 1649877366 | Katherine Bauer | Social Worker | 1939 S Division Ave, Grand Rapids, MI 49507 | 2020-10-06 |
| 1720611262 | Jamelia Green | Social Worker | 1939 S Division Ave, Grand Rapids, MI 49507 | 2020-02-12 |
| 1013549096 | Patrick A Nelson | Social Worker | 1939 S Division Ave, Grand Rapids, MI 49507 | 2020-02-07 |
| 1912567868 | Breanna Jones | Counselor | 1939 S Division Ave, Grand Rapids, MI 49507 | 2019-06-13 |
| 1366000291 | Cheyenne Autumn Smith | Social Worker | 1939 S Division Ave, Grand Rapids, MI 49507 | 2019-06-05 |
| 1114582285 | Elizabeth A Smith | Social Worker | 1939 S Division Ave, Grand Rapids, MI 49507 | 2019-05-04 |
| 1093272395 | Margaret Hannaford | Social Worker | 1939 S Division Ave, Grand Rapids, MI 49507 | 2019-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487156956 | Kristen Zvirbulis Keeter | Physical Therapist | 625 Kenmoor Ave. Se Ste 306, Grand Rapids, MI 49507 | 2018-03-01 |
| 1508371758 | Vanessa Woodard | Case Manager/Care Coordinator | 1939 S. Division Ave., Grand Rapids, MI 49507 | 2017-12-11 |
| 1306350624 | Courtney Nicole Porter | Social Worker | 1979 S Division Ave., Grand Rapids, MI 49507 | 2017-11-22 |
| 1518496900 | 733 Prince LLC | Custodial Care Facility | 733 Prince St Se, Grand Rapids, MI 49507 | 2017-06-08 |
| 1720515406 | Tiffanie Ryder | Massage Therapist | 1110 Merrified St, Grand Rapids, MI 49507 | 2017-05-12 |
| 1619404308 | Shedrice's Afc | Respite Care | 246 Powell Se Ave, Grand Rapids, MI 49507 | 2017-05-12 |
| 1992171748 | Richard Lavell Flowers | Non-emergency Medical Transport (VAN) | 1447 Elliott, Grand Rapids, MI 49507 | 2015-08-17 |
| 1982096087 | Jordana Seebeck | Social Worker | 1939 S. Division Se, Grand Rapids, MI 49507 | 2015-02-26 |
| 1083973135 | Carla May Waite | Social Worker | 1939 South Division, Grand Rapids, MI 49507 | 2012-05-10 |
| 1740550037 | Jamie Lee Dalton | Social Worker | 2017 College Ave Se, Grand Rapids, MI 49507 | 2012-01-04 |
| Find all providers in zip 49507 | ||||
| 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 |
|---|---|---|---|---|
| 1225639560 | Ananya Avinash | Social Worker | 235 Olivia Ct Nw, Grand Rapids, MI 49504-5897 | 2020-11-03 |
| 1982203485 | Becoming You Therapy Pllc | Social Worker | 2346 Mission Hills Dr Se, Grand Rapids, MI 49546-7804 | 2020-10-26 |
| 1235738774 | Huffman Counseling Services LLC | Social Worker | 1950 Waldorf St Nw Ste E, Grand Rapids, MI 49544-1488 | 2020-10-24 |
| 1730795816 | Elizabeth Anne Maher | Social Worker | 1519 Pontiac Rd Se, Grand Rapids, MI 49506-3367 | 2020-09-23 |
| 1437764511 | Titiana Shanee Richardson | Social Worker | 113 Lake Michigan Drive Northwest, Grand Rapids, MI 49544 | 2020-09-15 |
| 1205448834 | Rose Training & Education, LLC | Social Worker | 156 Hillview Ave Ne, Grand Rapids, MI 49503-3824 | 2020-08-17 |
| 1497366967 | Krista L. Leinberger, LLC | Social Worker | 548 Fairview Ave Ne Apt 1, Grand Rapids, MI 49503-2581 | 2020-08-10 |
| 1609493782 | Lauren Anne Tarkiewicz | Social Worker | 700 Alger St Se, Grand Rapids, MI 49507-3531 | 2020-07-06 |
| 1841814779 | Molly Ballantyne | Social Worker | 1166 Hall St Se, Grand Rapids, MI 49507-1971 | 2020-06-06 |
| 1942839238 | Patricia Hickey Msw | Social Worker | 2020 Raybrook St Se Ste 301, Grand Rapids, MI 49546-7717 | 2020-04-07 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49507 |
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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.