Shepherd Wellness, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SHEPHERD WELLNESS, LLC

Practice address

14332 21St Ave N
Ste 200
Plymouth, MN 55447-4566

Phone

(612) 564-9355

NPI assigned

Dec 5, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer ShepherdNPI 1518137421

Title

Owner

Phone

(612) 564-9355

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Lynn Shepherd, MSW, L.I.C.S.W.

  • Clinical Social Worker
  • Plymouth, MN
  • NPI 1518137421
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1733356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1669288452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4190 VINEWOOD LANE N",
            "address_2": "STE 111 PMB 403",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "55442",
            "telephone_number": "612-564-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14332 21ST AVE N",
            "address_2": "STE 200",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554474566",
            "telephone_number": "612-564-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPHERD WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-05",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-564-9355"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ralph Scott Shapiro, M.D.
• Shauna Anderson Novak ,D.D.S.,P.a.
• Amy Lynn Shaw-Valentin, MST
• Rakiya Mukhtar Sheikhali
• Shepherd Therapy PLLC
• Jennifer Lynn Shepherd, MSW, L.I.C.S.W.
• Summer L Shepstone, OTR/L
• Brittany Shervey
• Michael Bradley Shinder, DC
• Jeff William Shively, LICSW

• Clinical Social Worker in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.