JACKIE ANN EBBERT


Address: 175 Bernal Rd Ste 140, San Jose, CA 95119-1343
Phone: 4089723099

JACKIE ANN EBBERT (NPI# 1033266796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033266796
Entity Type Individual
Full Name JACKIE ANN EBBERT
Other Name JACKI ANN EBBERT
Practice Address 175 Bernal Rd Ste 140
San Jose
CA 95119-1343
Practice Telephone 4089723099
Mailing Telephone 4089723099
Enumeration Date 2007-01-04
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
LCS10717 CA Behavioral Health & Social Service Providers

Office Location

Street Address 175 BERNAL RD STE 140
City SAN JOSE
State CA
Zip Code 95119-1343

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215096052 Andrew Charles Berger Psychologist 175 Bernal Rd Ste 140, San Jose, CA 95119-1343 2006-12-07
1407913759 Michael Anthony Curry Social Worker 175 Bernal Rd Ste 140, San Jose, CA 95119-1343 2007-01-03
1770645939 Gary James Rezowalli Psychologist 175 Bernal Rd Ste 140, San Jose, CA 95119-1343 2006-12-14

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NPI Name Taxonomy Address Enumeration
1922623594 Julia Angelina Rojas Rehabilitation Counselor 298 A Bernal Rd, San Jose, CA 95119 2020-06-10
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1104451194 Arthur Warren Hall Counselor 298 A Bernal Road, San Jose, CA 95119 2020-03-10
1992264774 Jennifer Luu Student in an Organized Health Care Education/Training Program 276 International Circle Building, 1 - 2nd Floor - Family Medicine Residency Unit G, San Jose, CA 95119 2019-03-19
1194209510 Victoria Marques Pharmacist 275 Hospital Parkway, Suite 625, San Jose, CA 95119 2018-09-21
1780123497 Costco Wholesale Corporation Hearing Aid Equipment 6898 Raleigh Road, San Jose, CA 95119 2017-02-14
1437563855 Mark Douglas Zukunft Emergency Medicine 250 Hospital Pkwy Dept Of, San Jose, CA 95119 2014-06-13
1669896338 Paul J. Zuchowski Chiropractic, A Professional Corporation Chiropractor 6950 Santa Teresa Blvd., Ste.a, San Jose, CA 95119 2014-02-14
1700227873 Yu-chien Cheng Internal Medicine 275 Hospital Pkwy Ste 600, San Jose, CA 95119 2013-07-17
1730432014 Tami Otomo Pharmacist 6201 San Ignacio Ave, San Jose, CA 95119 2012-10-24
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023633708 Efrat Shemesh Katan Social Worker 1025 Wunderlich Dr, San Jose, CA 95129-3159 2020-06-09
1982227138 Ruth Larsen Social Worker 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 2020-05-22
1083236905 Carey Gil Social Worker 1885 The Alameda Ste 120, San Jose, CA 95126-1732 2020-05-13
1912555996 Marie Danh Social Worker 701 Miller St, San Jose, CA 95110-2121 2019-09-03
1194203497 Janet Caudillo Social Worker 373 W Julian St, San Jose, CA 95110-2319 2018-07-30
1699267971 Wendy Shapiro Social Worker 1245 S Winchester Blvd Ste 306, San Jose, CA 95128-3908 2018-06-03
1871099523 Elisse Reyna Social Worker 2670 S White Rd Ste 170, San Jose, CA 95148-2071 2018-04-02
1487166062 Giorgio Andrea Quittan I Social Worker 1046 W Taylor St Ste 204, San Jose, CA 95126-1815 2017-11-03
1942712211 Zenon Post Social Worker 31 N 2nd St # 265, San Jose, CA 95113-1231 2017-10-26
1578010526 Gayle Peitso Social Worker 15780 Highland Dr, San Jose, CA 95127-1741 2016-09-07
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Competitor

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City SAN JOSE
Zip Code 95119

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Dataset Information

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.

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