Shana B Thell, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904005342 Issued in VA

Practice address

6851 Courthouse Rd
Footsteps Counseling Center, Suite 300
Chesterfield, VA 23832-5308

Phone

(804) 715-3215

Fax

(804) 715-3233

NPI assigned

Jul 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Shana Beth Rickett Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Footsteps Counseling Center

  • Mental Health Counselor
  • Chesterfield, VA
  • NPI 1669556585
  NPD
• Family Support Services Inc.

  • Mental Health Counselor
  • New Brighton, MN
  • NPI 1467549220
  NPD (past)
• Nystrom & Associates, LTD

  • Clinical Social Worker
  • New Brighton, MN
  • NPI 1396750188
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378684800000",
    "number": "1902821879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6851 COURTHOUSE RD",
            "address_2": "FOOTSTEPS COUNSELING CENTER, SUITE 300",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238325308",
            "telephone_number": "804-715-3215",
            "fax_number": "804-715-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6851 COURTHOUSE RD",
            "address_2": "FOOTSTEPS COUNSELING CENTER, SUITE 300",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238325308",
            "telephone_number": "804-715-3215",
            "fax_number": "804-715-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THELL",
        "first_name": "SHANA",
        "middle_name": "B",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2013-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "16213",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904005342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "430684800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANA",
            "last_name": "RICKETT",
            "middle_name": "BETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Teach the Spectrum LLC
• Teen Option, Inc.
• The Destin Group LLC
• The Meridian Group of Chesterfield
• The Village Children and Family Services, LLC
• Therapeutic Wellness Consultation, LLC
• Therapist Mental Health Services, LLC
• Glenn Thomas
• Latrese Thompson
• Emma Kane Thurman, PT, DPT

• Clinical Social Worker in Chesterfield, VA
• Providers in Chesterfield, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; 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.