Tuesday A Shattuck, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.0007981 Issued in OH

Practice address

6929 W 130TH St
Suite 500
Parma Heights, OH 44130-7878

Phone

(440) 842-6867

Fax

(440) 842-8914

NPI assigned

Jun 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• North Coast Family Foundation

  • Psychologist
  • Middleburg Heights, OH
  • NPI 1013959238
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1831131051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5255 N ABBE RD",
            "city": "SHEFFIELD VILLAGE",
            "state": "OH",
            "postal_code": "440351451",
            "telephone_number": "440-934-9158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6929 W 130TH ST",
            "address_2": "SUITE 500",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441307878",
            "telephone_number": "440-842-6867",
            "fax_number": "440-842-8914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHATTUCK",
        "first_name": "TUESDAY",
        "middle_name": "A",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0007981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shauna M Scott-Rose
• Zohra Sediqi Haseem
• Anthony A. Shaia, D.D.S.
• Crystel Shaia, D.D.S.
• Traci Sharkey-Wells, CNP
• Michael Shearn
• Ashley Lauren Shestina, LPN
• Glenn Boris Shtarkman, D.M.D
• Silver Bloom Care LLC
• Lynn Marie Sirl, STNA

• Clinical Social Worker in Parma Heights, OH
• Providers in Parma Heights, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.