MRS. JEANETTA SHEPPARD LCSW
NPI 1689649857
Social Worker - Clinical in Fort Rucker, AL

NPI Status: Active since February 21, 2006

Contact Information

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

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  • Individual
  • Female
  • Social Worker
  • Clinical

About JEANETTA SHEPPARD

This page provides the complete NPI Profile along with additional information for Jeanetta Sheppard, a provider established in Fort Rucker, Alabama with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1689649857 assigned on February 2006. The practitioner's primary taxonomy code is 1041C0700X with license number 2027C (AL). The provider is registered as an individual and her NPI record was last updated 13 years ago.

NPI
1689649857
Provider Name
MRS. JEANETTA SHEPPARD LCSW
Gender
Female
Entity Type
Individual
Location Address
301 ANDREWS AVENUE UNITED STATES ARMY SUBSTANCE ABUSE PROGRAM FORT RUCKER, AL 36362
Location Phone
(334) 255-7918
Location Fax
(334) 255-7617
Mailing Address
301 ANDREWS AVE. FORT RUCKER, AL 36362
Mailing Phone
(334) 255-7918
Mailing Fax
(334) 255-7617
Is Sole Proprietor?
No
Enumeration Date
02-21-2006
Last Update Date
06-18-2012
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A clinical social worker like Jeanetta Sheppard is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
2027C
License State
AL
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

CAP867 (FL)
2101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

ICADC6435 (FL)
31041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

SW7254 (FL)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1689649857
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2616912418810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 6 + 9 + 1 + 2 + 4 + 1 + 8 + 8 + 1 + 0 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1689649857 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1932107307 JAMES C. DOVER O.D.
Individual
Optometrist301 ANDREWS AVENUE LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362
(334) 255-7040
1528058328DR. BRIAN W SMALLEY D.O.
Individual
Preventive Medicine (Aerospace Medicine)301 ANDREWS AVENUE LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362
(334) 255-7387
1528058005 KEVIN MARK HOUCK MPT
Individual
Physical Therapist301 ANDREWS AVENUE LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362
(334) 255-7387
1679564652MR. DONALD WAYNE DRAPER PA
Individual
Physician Assistant301 ANDREWS AVENUE LYSTER US ARMY HEALTH CLINIC
FORT RUCKER, AL 36362
(334) 255-7387
1639160948MS. VIVIAN BURTON GAMBLES FNP
Individual
Nurse Practitioner (Family)301 ANDREWS AVENUE
FORT RUCKER, AL 36362
(334) 255-7387
1992796213DR. JANET ELIZABETH DICK-GRACE PH.D.
Individual
Social Worker301 ANDREWS AVENUE LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362
(334) 255-7387
1083695670 MONICA B. GORBANDT MD
Individual
Internal Medicine301 ANDREWS AVENUE LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362
(334) 255-7387
1396726733MRS. ANNIE STEVENS BOOTHE CRNP
Individual
Nurse Practitioner (Primary Care)301 ANDREWS AVENUE
FORT RUCKER, AL 36362
(334) 255-7387
1710968110MS. BETTY L MCCAIN SOCIAL WORKER
Individual
Social Worker301 ANDREWS AVENUE LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362
(334) 255-7387
1104809359MRS. IDA SUE MONTGOMERY CRNP
Individual
Nurse Practitioner (Primary Care)301 ANDREWS AVENUE LYSTER ARMY OUTPATIENT CLINIC
FORT RUCKER, AL 36362
(334) 255-7387
1699758466MR. JAMES G. JONES LPC
Individual
Counselor (Addiction (Substance Use Disorder))301 ANDREWS AVENUE
FT. RUCKER, AL 36362
(334) 255-7387
1730165291MRS. THERESA DIANNE OSTEEN RD
Individual
Dietitian, Registered301 ANDREWS AVENUE LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362
(334) 255-7387
1164519849DR. BARRY L FUNKHOUSER MD
Individual
Psychologist (Clinical)301 ANDREWS AVENUE
FORT RUCKER, AL 36362
(334) 255-7387
1326117367DR. LYNNETTE B BARDOLF PH.D.
Individual
Audiologist301 ANDREWS AVENUE
FORT RUCKER, AL 36362
(334) 255-7387
1013087923MS. CANDICE M HOBBS
Individual
Nurse Practitioner (Family)301 ANDREWS AVENUE
FORT RUCKER, AL 36362
(334) 255-7649
1760606040MRS. KATHRYN GORE CLARK CCC-SLP
Individual
Speech-Language Pathologist301 ANDREWS AVENUE EDIS
FORT RUCKER, AL 36362
(808) 772-1393
1598964298DR. JENNIFER SIGNE MARSDEN M.D.
Individual
Family Medicine301 ANDREWS AVENUE VA WIREGRASS
FORT RUCKER, AL 36362
(334) 503-7831
1578741534MS. REBECCA S MERRITT RN
Individual
Registered Nurse (Case Management)301 ANDREWS AVENUE
FORT RUCKER, AL 36362
(334) 255-7116
1386822203MRS. ALEXA E YOHN RN
Individual
Registered Nurse (Ambulatory Care)301 ANDREWS AVENUE
FORT RUCKER, AL 36362
(334) 255-7152
1467630251MS. MAXIENE H RYAN LPN
Individual
Licensed Practical Nurse301 ANDREWS AVENUE
FORT RUCKER, AL 36362
(334) 255-7894

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689649857, enumerated in the NPI registry as an "individual" on February 21, 2006

The provider is located at 301 Andrews Avenue United States Army Substance Abuse Program Fort Rucker, Al 36362 and the phone number is (334) 255-7918

The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical

This NPI record was last updated on February 21, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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