MR. DAN GARY WERTHEIMER (NPI# 1104062405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104062405 |
| Entity Type | Individual |
| Full Name | MR. DAN GARY WERTHEIMER |
| Credential | LICSW |
| Practice Address |
1901 Shoreline Drive Apt 303 Alameda CA 94510 |
| Mailing Address |
1901 Shoreline Dr Apt. 303 Alameda CA 94501-6067 |
| Practice Telephone | 5109958971 |
| Mailing Telephone | 5109958971 |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2008-12-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
110136 | MA | Behavioral Health & Social Service Providers |
| Street Address |
1901 SHORELINE DRIVE APT 303 |
| City | ALAMEDA |
| State | CA |
| Zip Code | 94510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578114690 | Stacie Coveleski | Psychologist | 701 Southhampton Road, Suite 102, Benicia, CA 94510 | 2019-09-20 |
| 1962065227 | Susan Samuelsz | Marriage & Family Therapist | 1350 Hayes St. Suite A33, Benicia, CA 94510 | 2019-04-22 |
| 1982150546 | Christine Torres | Health Educator | 777 West H Street, Benicia, CA 94510 | 2016-09-01 |
| 1548654692 | Paul Villamizar | Pharmacist | 900 Cambridge Drive Unit 11, Benicia, CA 94510 | 2015-03-26 |
| 1457768079 | Gail Frizzell | Social Worker | 865 West I Street, Benicia, CA 94510 | 2014-07-15 |
| 1093150740 | Mjq Family Dentistry | Dentist | 125 East N Street, Benicia, CA 94510 | 2013-05-08 |
| 1528328283 | Julie Laura Rose | Acupuncturist | 555 First St., Suite 200, Benicia, CA 94510 | 2012-05-29 |
| 1720379175 | Gary Archie Plaskett | Counselor | 591 Capitol Dr, Benicia, CA 94510 | 2011-04-20 |
| 1023266053 | Mark David Levine Md Vallejo Professional Corporation | Psychiatry & Neurology | 1021 First St Ste 5, Benicia, CA 94510 | 2008-09-03 |
| 1063676815 | June Kim-ryujin | Occupational Therapist | 562 Morning Glory Drive, Benicia, CA 94510 | 2008-07-10 |
| Find all providers in zip 94510 | ||||
| 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 |
|---|---|---|---|---|
| 1053823245 | Krista Coffman Arrington | Social Worker | 246 Oyster Pond Rd, Alameda, CA 94502-6460 | 2017-10-29 |
| 1881058972 | Michelle Devine | Social Worker | 644 Tarryton Isle, Alameda, CA 94501-5646 | 2016-04-05 |
| 1932581956 | Hanh Nguyen | Social Worker | 317 Harbor Light Rd, Alameda, CA 94501-5965 | 2015-06-25 |
| 1225459753 | Brandy Elise Gadson | Social Worker | 2601 Blanding Ave # C301, Alameda, CA 94501-1579 | 2013-12-31 |
| 1881024925 | Harriet Johnson | Social Worker | 772 Esterbrook Ct, Apt A, Alameda, CA 94501-3484 | 2013-11-26 |
| 1871832956 | Sabrina Bruno Cundiff | Social Worker | 1107 Park Street, Alameda, CA 94501 | 2013-02-08 |
| 1902172208 | Amy Theresa Raffle | Social Worker | 1226 1/2 Park Ave, Alameda, CA 94501-5236 | 2012-03-30 |
| 1679855969 | Courtland G Mcpherson | Social Worker | 1101 Marina Village Pkwy, Suite 201, Alameda, CA 94501-3579 | 2011-09-13 |
| 1528254539 | Suzy Kim-tran | Social Worker | 1134 Ballena Blvd, Ste 16, Alameda, CA 94501-3693 | 2007-09-24 |
| 1689867798 | Kathleen Pursel Cutshall | Social Worker | 2245 Santa Clara Ave Ste 200, Alameda, CA 94501-4443 | 2007-08-22 |
| Find all providers in ALAMEDA | ||||
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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.