MRS. BLANCA ISELA TABARES


Address: 5671 Santa Teresa Blvd, Suite105, San Jose, CA 95123-6512
Phone: 4082842280

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
27775 CA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA MEDICARE ZZZ00543Z 01

Office Location

Street Address 5671 SANTA TERESA BLVD
SUITE105
City SAN JOSE
State CA
Zip Code 95123-6512

Providers in the same location

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

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700441045 Calvin Patrick Nell Chiropractor 5570 Sanchez Drive, Ste 100, San Jose, CA 95123 2019-05-02
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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
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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 95123

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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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