STACY JENNIFER ANDERSON


Address: 4368 Lincoln Ave, Oakland, CA 94602-2529
Phone: 5105313111

STACY JENNIFER ANDERSON (NPI# 1093020653) 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) 1093020653
Entity Type Individual
Full Name STACY JENNIFER ANDERSON
Practice Address 4368 Lincoln Ave
Oakland
CA 94602-2529
Practice Telephone 5105313111
Mailing Telephone 5105313111
Enumeration Date 2010-08-07
Last Update Date 2010-08-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Other Providers STACY ANDERSON

NPI Name Taxonomy Address Enumeration
1063068740 Stacy Renee Anderson Technician 1510 Talon Dr, Cameron, MO 64429-2095 2019-08-17
1366646713 Stacy Lynette Anderson Social Worker 1501 N Meridian Ave, Wichita, KS 67203-1942 2007-06-11
1306457031 Stacy Anne Anderson Behavior Technician 6910 S Highland Dr, Cottonwood Heights, UT 84121-3060 2020-08-15
1144846064 Stacy Ann Anderson Registered Nurse 3230 Waring Ct Ste A, Oceanside, CA 92056-4509 2020-06-17
1942824701 Stacy Lynn Anderson Pharmacist 305 S State St, Aberdeen, SD 57401-4527 2020-06-07
1386094134 Stacy Anderson Case Manager/Care Coordinator 4700 Wichers Dr Ste 206, Marrero, LA 70072-3054 2016-06-13
1376949842 Stacy Diane Anderson Counselor 2601 Pasadena Blvd, Pasadena, TX 77502-3265 2014-11-11
1619210648 Stacy Lee Anderson Internal Medicine 1275 York Ave, New York, NY 10065-6007 2013-03-28
1710114038 Stacy Anderson Pharmacist 1401 N 1st St, Grand Junction, CO 81501-2139 2009-06-12
1790931319 Stacy Anderson Nurse Practitioner 13123 E 16th Ave, Aurora, CO 80045-7106 2008-08-14

Office Location

Street Address 4368 LINCOLN AVE
City OAKLAND
State CA
Zip Code 94602-2529

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730266164 Michael Semsky Social Worker 4368 Lincoln Ave, Oakland, CA 94602-2529 2006-11-01
1487002630 Claudia Elizabeth Santuario Student in an Organized Health Care Education/Training Program 4368 Lincoln Ave, Oakland, CA 94602-2529 2016-05-28
1205208444 Felicia Ann Carter Social Worker 4368 Lincoln Ave, Oakland, CA 94602-2529 2015-10-27
1114395191 Tia Barnes Marriage & Family Therapist 4368 Lincoln Ave, Oakland, CA 94602-2529 2015-09-09
1811364839 Belinda Greenwood Counselor 4368 Lincoln Ave, Oakland, CA 94602-2529 2015-08-25
1275909640 Zena Rachelle Caputo Student in an Organized Health Care Education/Training Program 4368 Lincoln Ave, Oakland, CA 94602-2529 2015-08-19
1720454143 Sarah Anne Almeida Psychologist 4368 Lincoln Ave, Oakland, CA 94602-2529 2015-08-19
1457727869 Michaela Coates Marriage & Family Therapist 4368 Lincoln Ave, Oakland, CA 94602-2529 2015-08-19
1174999809 Marina Clarisse Antonio Student in an Organized Health Care Education/Training Program 4368 Lincoln Ave, Oakland, CA 94602-2529 2015-08-17
1720487895 Azita Munsif Azizi Social Worker 4368 Lincoln Ave, Oakland, CA 94602-2529 2014-08-14
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376151845 Nicholas Collins Pac Lac Inc Acupuncturist 3433 Brunell Dr, Oakland, CA 94602 2020-07-21
1225667850 Elaine Dellinger Student in an Organized Health Care Education/Training Program Highland Hospital 1411 East 31st Street, Qic 22123, Oakland, CA 94602 2020-04-06
1356804033 Jayakala Lakireddy Student in an Organized Health Care Education/Training Program Dept of Surgery, 1411 East 31st Street, Oakland, CA 94602 2019-04-10
1750844585 Kirea J Mazzolini Student in an Organized Health Care Education/Training Program Dept. of Surgery, 1411 East 31st Street, Oakland, CA 94602 2019-04-09
1912478587 Joie Mazor Chiropractor 3201 Macarthur Blvd., Oakland, CA 94602 2018-12-07
1114424884 Jesse Santos Student in an Organized Health Care Education/Training Program Dept. of Surgery, 1411 East 31st Street, Oakland, CA 94602 2018-04-10
1679078646 Tia Vang Student in an Organized Health Care Education/Training Program 1411 E. 31st Street 2nd Flr A2, Oakland, CA 94602 2018-03-29
1942704101 Michael Mian Student in an Organized Health Care Education/Training Program 1411 E 31st St, Qic 22123, Oakland, CA 94602 2018-03-22
1063916575 Charisma Kaushik Student in an Organized Health Care Education/Training Program 1411 East 31st Street, Qic 22123, Oakland, CA 94602 2018-03-20
1841711363 David Christopher Carroll Pharmacist 1411 E. 31st Street, Oakland, CA 94602 2017-07-06
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487255790 Sharon Kiesler Counselor 3621 Webster St, Oakland, CA 94609-2844 2020-11-03
1982218418 Jill Patience Lahmann Counselor 1000 Broadway Ste 300, Oakland, CA 94607-4099 2020-09-02
1659983955 Abigail Weintraub Counselor 625 Mariposa Ave, Oakland, CA 94610-1312 2020-08-18
1447871561 Ronika Williams Counselor 555 98th Ave Apt 55598th, Oakland, CA 94603-2100 2020-04-29
1699306092 Bryon C Pickens Counselor 355 Bob White Rd, Oakland, TN 38060-4109 2020-02-04
1366082950 La Tronda Shawna Lumpkins Counselor 8501 International Blvd, Oakland, CA 94621-1549 2020-01-10
1861033201 Fatima Zahra Allam Counselor 1900 Embarcadero Ste 305, Oakland, CA 94606-5227 2019-10-07
1275181190 Sarah Primack Counselor Castlemont High School, 8601 Macarthur Blvd, Oakland, CA 94605 2019-09-04
1013472224 Janay Green Counselor 6951 Lion Way Apt 302, Oakland, CA 94621-3368 2019-02-01
1508321886 Terra Brown Brown Counselor One Eastmont Mall Town Center, 7200 Bancroft Avenue Building B. Suite 133, Oakland, CA 94605 2019-01-31
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Competitor

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City OAKLAND
Zip Code 94602

Improve Information

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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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