SIMON DESMARAIS-ZALOB (NPI# 1013521566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013521566 |
Entity Type | Individual |
Full Name | SIMON DESMARAIS-ZALOB |
Credential | LCSW |
Practice Address |
2460 Clay Bank Rd Bldg 8 Fairfield CA 94533-1655 |
Practice Telephone | 7073994491 |
Mailing Telephone | 7073994491 |
Enumeration Date | 2020-09-02 |
Last Update Date | 2020-09-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041S0200X |
Social Worker Specialization: School |
93313 | CA | Behavioral Health & Social Service Providers |
Street Address |
2460 CLAY BANK RD BLDG 8 |
City | FAIRFIELD |
State | CA |
Zip Code | 94533-1655 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194325340 | Solano County Superintendent of Schools | Local Education Agency (LEA) | 2460 Clay Bank Rd Bldg 8, Fairfield, CA 94533-1655 | 2020-10-27 |
1588278683 | Heather Walsh | Social Worker | 2460 Clay Bank Rd Bldg 8, Fairfield, CA 94533-1655 | 2020-09-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609487347 | Shayondelice Sledge | Case Manager/Care Coordinator | 3001 N. Texas St., #27, Fairfield, CA 94533 | 2020-08-16 |
1508401191 | Tiffany Ann Garcia | Social Worker | 1301 Roman Way, Martinez, CA 94533 | 2019-11-07 |
1609424175 | Andrew Stephens | Student in an Organized Health Care Education/Training Program | Dgmc, 101 Bodin Cir, Fairfield, CA 94533 | 2019-08-28 |
1821645383 | Michelle Marie Hackett | Marriage & Family Therapist | 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 | 2019-08-20 |
1780154369 | Maria Leonila Ramos Corpuz | Behavior Technician | 744 Empire Street Suite 160, Fairfield, CA 94533 | 2018-11-27 |
1629575303 | Jeanne Ann Kiernan | Dentist | 690 Airman Dr, Apo, AA 94533 | 2018-04-10 |
1629596820 | Max Kardos | Student in an Organized Health Care Education/Training Program | 801 Empire St., Fairfield, CA 94533 | 2017-09-07 |
1780119867 | Justin Denhart Dickson | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 | 2017-04-26 |
1639613409 | Behrooz Shafiezadeh | Marriage & Family Therapist | Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 | 2016-12-13 |
1427500164 | Tanya Ayers | Counselor | 801 Empire Street, Fairfield, CA 94533 | 2016-10-28 |
Find all providers in zip 94533 |
Taxonomy Code | 1041S0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Social Worker |
Specialization | School |
Definition to come... |
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1891318465 | Christian O'brian Munoz | Social Worker | 341 Haven Dr, Arvin, CA 93203-1918 | 2020-05-18 |
1356963078 | Roman Richard Tabayoyon | Social Worker | 9781 Mckenna Dr, Elk Grove, CA 95757-4027 | 2020-05-15 |
1669016523 | Kathleen Elise Hinkson | Social Worker | 3550 Watt Ave Ste 7, Sacramento, CA 95821-2668 | 2019-11-04 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.