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MRS. JEANETTA SHEPPARD LCSW NPI 1689649857


NPI Information

NPI: 1689649857
Provider Name: MRS. JEANETTA SHEPPARD, LCSW
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Address:
301 ANDREWS AVENUE
UNITED STATES ARMY SUBSTANCE ABUSE PROGRAM
FORT RUCKER, AL
ZIP 36362
Phone: (334) 255-7918
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MRS. Jeanetta Sheppard, LCSW is a clinical social worker in Fort Rucker, AL. The provider is 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. MRS. Jeanetta Sheppard, LCSW NPI is 1689649857. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

301 ANDREWS AVENUE
UNITED STATES ARMY SUBSTANCE ABUSE PROGRAM
FORT RUCKER, AL
ZIP 36362-105
Phone: (334) 255-7918
Fax: (334) 255-7617

The enumeration date for this NPI number is 2/21/2006 and was last updated on 6/18/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)CAP867FLORIDANo
2101YA0400XCounselorAddiction (Substance Use Disorder)ICADC6435FLORIDANo
31041C0700XSocial WorkerClinicalSW7254FLORIDANo
41041C0700XSocial WorkerClinical2027CALABAMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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