MRS. BLANCA ISELA TABARES (NPI# 1043470354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043470354 |
Entity Type | Individual |
Full Name | MRS. BLANCA ISELA TABARES |
Credential | LCSW |
Practice Address |
5671 Santa Teresa Blvd Suite105 San Jose CA 95123-6512 |
Practice Telephone | 4082842280 |
Practice Fax Number | 4087540450 |
Mailing Telephone | 4082842280 |
Mailing Fax Number | 4087540450 |
Enumeration Date | 2008-06-10 |
Last Update Date | 2014-01-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
27775 | CA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | MEDICARE | ZZZ00543Z | 01 |
Street Address |
5671 SANTA TERESA BLVD SUITE105 |
City | SAN JOSE |
State | CA |
Zip Code | 95123-6512 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346380474 | David F Chicoine | Marriage & Family Therapist | 5671 Santa Teresa Blvd, 203, San Jose, CA 95123-6512 | 2007-02-07 |
1639680192 | Esmeralda Santana | Case Manager/Care Coordinator | 5671 Santa Teresa Blvd, San Jose, CA 95123-6512 | 2017-10-23 |
1366787772 | Amanda Nicole Delgado Heerboth | Registered Nurse | 5671 Santa Teresa Blvd, 105, San Jose, CA 95123-6512 | 2012-12-11 |
1316217987 | Agnes Castillo Manosca | Registered Nurse | 5671 Santa Teresa Blvd, 105, San Jose, CA 95123-6512 | 2012-01-12 |
1518234327 | Leslie Erin Clark | Registered Nurse | 5671 Santa Teresa Blvd, 105, San Jose, CA 95123-6512 | 2011-11-22 |
1154651602 | Janet Lynn Martin | Counselor | 5671 Santa Teresa Blvd, San Jose, CA 95123-6512 | 2010-01-06 |
1194963280 | Michaela B Banagan | Clinic/Center | 5671 Santa Teresa Blvd, San Jose, San Jose, CA 95123-6512 | 2009-01-27 |
1184879165 | Billie Bolden | Clinic/Center | 5671 Santa Teresa Blvd, Suite 105, San Jose, CA 95123-6512 | 2008-11-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700441045 | Calvin Patrick Nell | Chiropractor | 5570 Sanchez Drive, Ste 100, San Jose, CA 95123 | 2019-05-02 |
1629557152 | Jia Tian | Dentist | 393 Blossom Hill Rd Ste 150, San Jose, CA 95123 | 2018-08-06 |
1003306176 | Western Dental Services, Inc. | Dentist | 451 Blossom Hill Rd Suite 20, San Jose, CA 95123 | 2018-05-15 |
1871004945 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 5411 Thornwood Dr, San Jose, CA 95123 | 2017-10-17 |
1437672953 | Mie Mie Chiu | Dietitian, Registered | 276 Palm Valley Blvd #205, San Jose, CA 95123 | 2017-07-18 |
1902335300 | Alfredo Fernandez | Counselor | 5898 Paddon Circle, San Jose, CA 95123 | 2017-06-08 |
1780115444 | Christopher Vi Tran | Case Manager/Care Coordinator | 5579 Lean Avenue, San Jose, CA 95123 | 2017-03-24 |
1205370004 | Linxi Wu | Acupuncturist | 6064 Cahalan Ave, San Jose, CA 95123 | 2016-12-13 |
1013307651 | Kevin Dizon | Dental Hygienist | 6071 Sunstone Drive, San Jose, CA 95123 | 2015-02-04 |
1285031294 | Katie Tran | Dental Assistant | 524 Glenburry Way, San Jose, CA 95123 | 2014-11-20 |
Find all providers in zip 95123 |
Taxonomy Code | 1041C0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Social Worker |
Specialization | Clinical |
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] |
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 |
Find all providers in SAN JOSE |
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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.