SHINING STAR PROFESSIONAL SERVICES INC (NPI# 1952471609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952471609 |
Entity Type | Organization |
Organization Name | SHINING STAR PROFESSIONAL SERVICES INC |
Practice Address |
9050 Youree Drive #1004 Shreveport LA 71115 |
Practice Telephone | 3187958055 |
Practice Fax Number | 3186357100 |
Mailing Telephone | 3187958055 |
Mailing Fax Number | 3186357100 |
Enumeration Date | 2006-11-09 |
Last Update Date | 2020-08-22 |
Authorized Official Name | AKEE LJ JACKSON (OWNER) |
Authorized Official Telephone | 3187958055 |
Authorized Official Credential | LCSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 104100000X | Social Worker | 4322 | LA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1562904 | 05 | |
LA | INDIVIDUAL MEDICARE # | 5X968 | 01 |
Street Address |
9050 YOUREE DRIVE #1004 |
City | SHREVEPORT |
State | LA |
Zip Code | 71115 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740829217 | Bno Surgical Consultants, LLC | Physician Assistant | 303 Captain Hm Shreve Blvd, Shreveport, LA 71115 | 2020-01-02 |
1902310899 | Islam LLC | General Acute Care Hospital | 9815 Paragon Ln, Shreveport, LA 71115 | 2017-11-30 |
1508304569 | Marcel White | Case Manager/Care Coordinator | 9050 Youree Dr, Apt 105, Shreveport, LA 71115 | 2017-02-09 |
1114392784 | Marilyn Sparks | Counselor | 9999 Smitherman Dr Apt 502, Shreveport, LA 71115 | 2015-12-08 |
1699031237 | Cody Tingle | Internal Medicine | 8001 Youree Dr Ste 400, Shreveport, LA 71115 | 2012-04-09 |
1629366885 | Pankaj Sharma | Psychiatry & Neurology | Department of Neurology, Lsuhsc Shreveport, 1501 Kings Highway, Shreveport, LA 71115 | 2011-07-21 |
1396914750 | Lisa L Jawahar | Radiologic Technologist | 429 Creek Holw, Shreveport, LOUISIANA 71115 | 2008-02-29 |
1720291412 | Larry Kenneth Robinson Jr. | Dentist | 8856 Youree Dr, Suite C, Shreveport, LA 71115 | 2007-05-08 |
1922178854 | Akee Lj Jackson | Social Worker | 9050 Youree Dr. #1004, Shreveport, LA 71115 | 2006-11-08 |
1104901446 | Monroe Medical Management LLC | Clinic/Center | 8856 Youree Drive, Suite D, Shreveport, LA 71115 | 2006-10-26 |
Find all providers in zip 71115 |
Taxonomy Code | 104100000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Social Worker |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831790773 | De'sica Lavancer Mccray-stewart | Social Worker | 6428 Joy Dr, Shreveport, LA 71119-5110 | 2020-11-06 |
1811477011 | Tanesha Denise Butler | Social Worker | 3315 Warwick Dr, Shreveport, LA 71118-4323 | 2018-08-16 |
1417485012 | Mycheal L Mimes | Social Worker | 1500 N Market St Unit C, Shreveport, LA 71107 | 2017-05-25 |
1275069668 | Faniki Davis | Social Worker | 2930 W Maple St, Shreveport, LA 71109-2332 | 2017-05-04 |
1225579428 | Shondia Jackson | Social Worker | 9137 Mansfield Rd Apt 104, Shreveport, LA 71118-3143 | 2017-03-20 |
1114474327 | Daminica Richard | Social Worker | 1600 Severine Cir, Shreveport, LA 71108-3022 | 2016-09-06 |
1619423241 | Jaquita Hunter | Social Worker | 9100 Walker Rd, Apt. H13, Shreveport, LA 71118-2902 | 2016-09-01 |
1104286889 | Paulette Gorman | Social Worker | 6811 Fairfield Ave, Shreveport, LA 71106-3803 | 2016-02-24 |
1164895454 | Rekisha Roshela Perkins | Social Worker | 843 Ascalon St, Shreveport, LA 71106-5201 | 2015-11-09 |
1750753729 | Rahvi Smith | Social Worker | 4152 Calderwood Dr, Shreveport, LA 71119 | 2015-10-29 |
Find all providers in SHREVEPORT |
City | SHREVEPORT |
Zip Code | 71115 |
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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.