MR. MATTHEW ALEXANDER KUZMICH (NPI# 1083127583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083127583 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW ALEXANDER KUZMICH |
| Credential | ACSW |
| Practice Address |
2090 Evans Ln San Jose CA 95125-2072 |
| Mailing Address |
Po Box 6405 San Jose CA 95150-6405 |
| Practice Telephone | 4087932400 |
| Mailing Telephone | 4087932408 |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2019-03-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
ASW77093 | CA | Behavioral Health & Social Service Providers |
| Street Address |
2090 EVANS LN |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95125-2072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609941947 | Juan Alberto Sanchez | Social Worker | 2090 Evans Ln, San Jose, CA 95125-2072 | 2006-11-21 |
| 1619576972 | Esmeralda Bautista | Counselor | 2090 Evans Ln, San Jose, CA 95125-2072 | 2020-10-19 |
| 1891345716 | Semir Rocevic | Rehabilitation Counselor | 2090 Evans Ln, San Jose, CA 95125-2072 | 2019-09-12 |
| 1083144885 | Alissa Marie Fisher | Case Manager/Care Coordinator | 2090 Evans Ln, San Jose, CA 95125-2072 | 2017-06-14 |
| 1336596881 | Rick Armand Navarro | Social Worker | 2090 Evans Ln, San Jose, CA 95125-2072 | 2016-05-14 |
| 1396105623 | Angela Michelle Galli | Technician, Other | 2090 Evans Ln, San Jose, CA 95125-2072 | 2016-02-29 |
| 1568842250 | Tamera Puthuff | Counselor | 2090 Evans Ln, San Jose, CA 95125-2072 | 2015-06-08 |
| 1477954006 | Maelise Blosse | Marriage & Family Therapist | 2090 Evans Ln, San Jose, CA 95125-2072 | 2014-09-15 |
| 1548678345 | Amanda Cortez | Marriage & Family Therapist | 2090 Evans Ln, San Jose, CA 95125-2072 | 2014-07-24 |
| 1740691484 | Tara Eiland | Licensed Psychiatric Technician | 2090 Evans Ln, San Jose, CA 95125-2072 | 2014-05-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285245431 | Carmen J. Frank | Marriage & Family Therapist | 913 Willow St., Suite 103, San Jose, CA 95125 | 2020-08-12 |
| 1376197848 | Mariam Samir Abadir | Dentist | 1670 Westwood Dr. Suite K, San Jose, CA 95125 | 2019-08-01 |
| 1750870747 | Gertrud Stojancic | Massage Therapist | 3315 Almaden Expressway, # 27/29, San Jose, CA 95125 | 2018-05-04 |
| 1659809259 | Edward Escoto | Assistant Behavior Analyst | 2075 Lincoln Ave Ste D, San Jose, CA 95125 | 2017-05-25 |
| 1104288422 | Kristin Ann Dessau | Counselor | 1261 Lincoln Avenue, Suite 202, San Jose, CA 95125 | 2016-03-25 |
| 1275964488 | Indian Health Center of Santa Clara Valley | Clinic/Center | 1685 Westwood Dr Ste 1, San Jose, CA 95125 | 2013-12-13 |
| 1598042905 | Walgreens | Exclusive Provider Organization | 2585 Almaden Road, San Jose, CA 95125 | 2011-11-14 |
| 1881981488 | Kevin Jia-chian Yen | Dentist | 1660 Willow St Ste 5, San Jose, CA 95125 | 2011-07-02 |
| 1699093724 | Lokahi Acupuncture, Inc. | Acupuncturist | 1688 Willow Street, Suite B, San Jose, CA 95125 | 2010-05-13 |
| 1538482468 | Mark Lucius Yoslow | Psychologist | 970 Minnesota Avenue, San Jose, CA 95125 | 2010-03-06 |
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| 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 |
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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.