MAUREEN TANIS (NPI# 1881678928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881678928 |
| Entity Type | Individual |
| Full Name | MAUREEN TANIS |
| Credential | LICSW |
| Practice Address |
1415 Saint Francis Ave Shakopee MN 55379-3374 |
| Mailing Address |
8170 33rd Ave S # Ms 21110q Bloomington MN 55425-4516 |
| Practice Telephone | 9529937750 |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
8690 | MN | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 101 Martin Luther King Dr, Mankato, MN 560016460 | 5073856500 |
| Street Address |
1415 SAINT FRANCIS AVE |
| City | SHAKOPEE |
| State | MN |
| Zip Code | 55379-3374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336122969 | Daniel W Hauschulz | Family Medicine | 1415 Saint Francis Ave, Shakopee, MN 55379-3374 | 2005-11-29 |
| 1407200892 | Chelsey Sand | Family Medicine | 1415 Saint Francis Ave, Shakopee, MN 55379 | 2016-04-21 |
| 1215345244 | Keith Wayne Fridel | Psychologist | 1415 Saint Francis Ave, Shakopee, MN 55379-3374 | 2014-07-22 |
| 1629482708 | Grant William Mathison | Orthopaedic Surgery | 1415 Saint Francis Ave, Shakopee, MN 55379-3374 | 2014-06-17 |
| 1811308265 | Caitlin Marie Pelletier | Pediatrics | 1415 Saint Francis Ave, Shakopee, MN 55379-3374 | 2014-05-19 |
| 1619395571 | Rachael Summers | Obstetrics & Gynecology | 1415 Saint Francis Ave, Shakopee, MN 55379 | 2014-03-28 |
| 1629400163 | Carly Thiner | Nurse Practitioner | 1415 Saint Francis Ave, Shakopee, MN 55379-3374 | 2013-08-07 |
| 1043650104 | Lisa Krohn | Pharmacist | 1415 Saint Francis Ave, Shakopee, MN 55379-3374 | 2013-07-03 |
| 1225334709 | Kaylen Mcnamara James Jackson | Dietitian, Registered | 1415 Saint Francis Ave, Shakopee, MN 55379-3374 | 2011-02-01 |
| 1982919718 | Kathryn Nicole Kuske | Physician Assistant | 1415 Saint Francis Ave, Shakopee, MN 55379-3374 | 2010-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073123030 | True North Community Dental Clinic, LLC | Dentist | 415 East First Avenue, Shakopee, MN 55379 | 2020-08-05 |
| 1154988236 | Benedictine Living Community of Shakopee LLC | Assisted Living Facility | 1705 Windermere Way, Shakopee, MN 55379 | 2019-05-23 |
| 1346741394 | Expressions In Motion LLC | Speech-Language Pathologist | 1221 East 4th Ave., Shakopee, MN 55379 | 2018-02-26 |
| 1124529334 | A.m Dental Professionals P.a | Clinic/Center | 1036 1st Ave E, Shakopee, MN 55379 | 2018-02-22 |
| 1538522024 | Jesse Sylvester | Chiropractor | 1275 Ramsey Street South, #600, Shakopee, MN 55379 | 2016-04-01 |
| 1376903963 | Dakota Best Transportation LLC | Non-emergency Medical Transport (VAN) | 449 Dakota Street Apt 2, Shakopee, MN 55379 | 2016-02-25 |
| 1568856631 | Tatyana Mishkin Gleyzer | Nurse Practitioner | 1010 West Sixth Avenue, Shakopee, MN 55379 | 2015-03-26 |
| 1245634039 | Kalli Ledel | Pharmacist | 1198 Vierling Dr, Cub Pharmacy, Shakopee, MN 55379 | 2014-10-22 |
| 1487992913 | Jennifer Elizabeth Boyd | Nurse Practitioner | Pediatrics 1415 St Francis Ave, Park Nicollet Clinic-shakopee, Shakopee, MN 55379 | 2013-01-17 |
| 1013253798 | Acts Therapy LLC | Counselor | 8170 Old Carriage Court North, 215, Shakopee, MN 55379 | 2012-12-27 |
| Find all providers in zip 55379 | ||||
| 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 |
|---|---|---|---|---|
| 1447588546 | Thomas J Hewett | Social Worker | 1802 Faribault Ct, Shakopee, MN 55379-4411 | 2009-12-01 |
| 1093713935 | Kim Harmon | Social Worker | 200 4th Ave W, Government Center Rm 300, Shakopee, MN 55379-1220 | 2005-07-13 |
| 1740287713 | Richard L Debeau | Social Worker | 1016 Swift St S, Shakopee, MN 55379-2953 | 2005-07-05 |
| 1326424052 | Sheila Neurauter | Social Worker | 1111 Shakopee Town Sq, Shakopee Va Clinic, Shakopee, MN 55379-1908 | 2015-08-04 |
| 1205192622 | Karen Jensen | Social Worker | 301 Fuller St S, Shakopee, MN 55379-1322 | 2012-04-10 |
| 1831341650 | Gina Marvene Garrett | Social Worker | 200 4th Ave W, Shakopee, MN 55379-1220 | 2008-10-13 |
| 1447385737 | Lorie J Reller | Social Worker | 200 4th Ave W, Shakopee, MN 55379-1220 | 2007-02-23 |
| 1871689927 | Shari Marie Stojevich | Social Worker | 327 S Marschall Rd, Suite 250 Bhsi LLC, Shakopee, MN 55379-2666 | 2006-10-05 |
| 1154320554 | Michael G Chovanec | Social Worker | 200 4th Ave W, Government Center Rm 300, Shakopee, MN 55379-1220 | 2005-07-18 |
| 1386642114 | Danelle Williams | Social Worker | 200 4th Ave W, Government Center, Rm 300, Shakopee, MN 55379-1220 | 2005-07-14 |
| Find all providers in SHAKOPEE | ||||
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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.