MR. KEVIN SHEPHERD (NPI# 1962872739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962872739 |
| Entity Type | Individual |
| Full Name | MR. KEVIN SHEPHERD |
| Credential | LCSW |
| Practice Address |
2012 E Amber Ln Apartment 206 Urbana IL 61802-6971 |
| Practice Telephone | 2174742928 |
| Mailing Telephone | 2174742928 |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2015-10-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149.017708 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316409717 | Kevin Andrew Shepherd | Student in an Organized Health Care Education/Training Program | 1120 15th St, Augusta, GA 30912-0004 | 2019-04-03 |
| 1679621254 | Kevin L Shepherd | Physical Therapist | 12197 S Draper Gate Dr Ste B, Draper, UT 84020-8078 | 2007-01-08 |
| Street Address |
2012 E AMBER LN APARTMENT 206 |
| City | URBANA |
| State | IL |
| Zip Code | 61802-6971 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932756186 | Guadalupe Guzman | Technician | 3205 E Airport Rd, Urbana, IL 61802 | 2019-08-22 |
| 1306303714 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 520 N Cunningham Avenue, 5 Points Shopping Center, Urbana, IL 61802 | 2019-02-22 |
| 1447769591 | Joe Mata | Non-emergency Medical Transport (VAN) | 606 Oakland Ave Apt 212, Urbana, IL 61802 | 2017-09-20 |
| 1326423153 | Allison Donald | Occupational Therapy Assistant | 500 Bartell Rd., Urbana, IL 61802 | 2015-07-22 |
| 1083013874 | Erin E Gianaras | Pharmacist | 2500 S Philo Rd, Urbana, IL 61802 | 2014-08-18 |
| 1881962744 | Nataly Briceno Guerrero | Occupational Therapist | 805 S Sunny Lane, Urbana, IL 61802 | 2011-12-07 |
| 1184917643 | Melody Meyer | Physical Therapy Assistant | 1704 E Amber Glenn Road, Urbana, IL 61802 | 2011-05-17 |
| 1265736110 | Blueprint | Social Worker | 2704 Boulder Drive, Suite B, Urbana, IL 61802 | 2011-01-07 |
| 1497989040 | Jennifer Renee Davis | Rehabilitation Counselor | 1513 County Rd 2300 North, Urbana, IL 61802 | 2009-05-12 |
| 1356543060 | Shan Brown | Nurse Practitioner | 2158 C.r. 1900 E., Urbana, IL 61802 | 2007-06-04 |
| Find all providers in zip 61802 | ||||
| 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 |
|---|---|---|---|---|
| 1699388009 | Ian Mackichan | Social Worker | 507 Springfield Ave, Urbana, IL 61801-3108 | 2020-08-25 |
| 1497246896 | Shanelle Marie Koroma | Social Worker | 2103 Pond St Unit B, Urbana, IL 61801-6852 | 2018-05-22 |
| 1053826677 | Michael Charles Langendorf | Social Worker | 2911 Haydon Dr, Urbana, IL 61802-9445 | 2017-12-05 |
| 1144731316 | Angela Marie Overholt | Social Worker | 700 S Gregory St Ste A, Urbana, IL 61801-3622 | 2017-10-16 |
| 1265736110 | Blueprint | Social Worker | 2704 Boulder Drive, Suite B, Urbana, IL 61802 | 2011-01-07 |
| 1215231204 | Brittany Jones | Social Worker | 903 S Lierman Ave Apt 25, Urbana, IL 61802-5477 | 2011-01-05 |
| 1912224783 | J&c Psychotherapy Services Inc | Social Worker | 301 W. Green Street, Urbana, IL 61801-3200 | 2010-05-03 |
| 1740516749 | Sue Wittman | Social Worker | 901 Harmon St, Urbana, IL 61801-6831 | 2009-10-26 |
| 1073741146 | Alyson Lurae Hunt | Social Worker | 1150 Scioto Street, Urbana, OH 43078 | 2009-06-29 |
| 1972740561 | Sherri A Grimone | Social Worker | 347 Scioto St, Urbana, OH 43078-2129 | 2009-01-19 |
| Find all providers in URBANA | ||||
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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.