KIMBERLY KUSHNER DOMINGUEZ (NPI# 1053718411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053718411 |
| Entity Type | Individual |
| Full Name | KIMBERLY KUSHNER DOMINGUEZ |
| Practice Address |
4375 Ne Riverside Loop Mcminnville OR 97128-8433 |
| Practice Telephone | 4846844765 |
| Mailing Telephone | 4846844765 |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2014-12-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Street Address |
4375 NE RIVERSIDE LOOP |
| City | MCMINNVILLE |
| State | OR |
| Zip Code | 97128-8433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565035 | Bkd Hillside Opco, LLC | Skilled Nursing Facility | 440 Nw Hillside Park Way, Mcminnville, OR 97128 | 2020-10-16 |
| 1811502636 | Sean Peter Christian Cavaghan | Counselor | 1900 Ne Hwy 99, Suite K, Mcminnville, OR 97128 | 2020-09-09 |
| 1386269637 | Tending The Vineyard | Clinic/Center | 127 Nw Highway 99w, Mcminnville, OR 97128 | 2020-06-12 |
| 1619441094 | Kami Naber | Counselor | 672 Ne Evans St, Mcminnville, OR 97128 | 2019-01-18 |
| 1720552102 | Lauren Nicole Abshire | Counselor | 672 Ne Evans Street, Mcminnville, OR 97128 | 2019-01-18 |
| 1366933376 | Maria G Guerrero | Specialist | 325 Nw Fenton St, Mcminnville, OR 97128 | 2018-05-24 |
| 1235628819 | Julie Luedtke | Health Educator | 300 Sw Hill Road South, Mcminnville, OR 97128 | 2018-05-09 |
| 1356838817 | Jacqueline Ann Hausman | Massage Therapist | 119 Ne 3rd St., Mcminnville, OR 97128 | 2018-04-19 |
| 1366960007 | Alexis R Burke | Counselor | 625 Ne Galloway, Mcminnville, OR 97128 | 2017-09-01 |
| 1871018705 | Amanda Rose Bunch | Counselor | 418 Se Holly Way, Mcminnville, OR 97128 | 2017-08-11 |
| Find all providers in zip 97128 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235548504 | Diverse Medical Management, Inc. | Social Worker | 82 Beckridge Rd, Mcminnville, TN 37110-5006 | 2014-08-12 |
| 1780016923 | Cheryl Lynn Blevins | Social Worker | 1340 Ne Logan St, Mcminnville, OR 97128-3712 | 2013-07-30 |
| 1003939943 | Kimberly Ann Russell | Social Worker | 617 Ne Davis St, Mcminnville, OR 97128-4716 | 2007-04-07 |
| 1508475112 | Pablo Daniel Gaspar-lopez | Social Worker | 435 Ne Evans St Ste A, Mcminnville, OR 97128-4628 | 2020-07-29 |
| 1376014738 | Janina Smith | Social Worker | 627 Ne Evans St, Mcminnville, OR 97128-3923 | 2018-12-11 |
| 1558846097 | Emily Ruiz Romero | Social Worker | 627 Ne Evans St, Mcminnville, OR 97128-3923 | 2018-10-01 |
| 1225557754 | Sarah Melcher | Social Worker | 627 Ne Evans St, Mcminnville, OR 97128-3923 | 2017-09-15 |
| 1356869366 | Patricia Ann Barr | Social Worker | 1014 S Chancery St, Mcminnville, TN 37110-3704 | 2017-08-30 |
| 1235665118 | Aj A Abell | Social Worker | 617 Ne Davis St, Mcminnville, OR 97128-4716 | 2017-05-11 |
| 1750814307 | Cassidy Michelle Brons | Social Worker | 627 Ne Evans St, Mcminnville, OR 97128-3923 | 2017-04-10 |
| Find all providers in MCMINNVILLE | ||||
| City | MCMINNVILLE |
| Zip Code | 97128 |
Please comment or provide details below to improve the information on KIMBERLY KUSHNER DOMINGUEZ.
| 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.