KENDRA ELISE MIKAWA


Address: 3 S Pacific Ave, Lodi, CA 95242-3020
Phone: 2093317822

KENDRA ELISE MIKAWA (NPI# 1164087599) 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) 1164087599
Entity Type Individual
Full Name KENDRA ELISE MIKAWA
Practice Address 3 S Pacific Ave
Lodi
CA 95242-3020
Mailing Address 13451 N Extension Rd
Lodi
CA 95242-9249
Practice Telephone 2093317822
Mailing Telephone 2093317822
Enumeration Date 2019-05-01
Last Update Date 2019-05-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker ASW73318 CA Behavioral Health & Social Service Providers

Office Location

Street Address 3 S PACIFIC AVE
City LODI
State CA
Zip Code 95242-3020

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285125807 Victoria Galvez Psychologist 1103 Tudor St, Lodi, CA 95242 2018-05-21
1174931471 Shuk Mei Chung Physician Assistant 2122 W Kettleman Ln, Lodi, CA 95242 2014-07-30
1275962169 Sharon Elizabeth Palmer Speech-Language Pathologist 1200 W Tokay St, Lodi, CA 95242 2013-11-01
1114286093 Brandee Lyn Smith Speech-Language Pathologist 1547 Lexington Dr, Lodi, CA 95242 2012-05-11
1255609509 Jennifer Marie Wallmark Speech-Language Pathologist 8 S. Cambridge Dr., Lodi, CA 95242 2011-12-01
1649459546 Kimberly Ann White Counselor 441 S. Ham Lane Suite A, Lodi, CA 95242 2007-10-26
1255541991 Heather Baldauff Occupational Therapist 800 South Lower Sacramento Road, Lodi Memorial Hospital West, Lodi, CA 95242 2007-05-23
1730227182 Clifford John Bradshaw Dentist 801 S Ham Lane, Suite D, Lodi, CA 95242 2007-02-01
1861541799 Catherine Ann Gravish Physical Therapist 800 South Ham Lane, Lodi, CA 95242 2007-01-09
1497814511 Stewart Chiropractic Corp Chiropractor 1420 W Kettleman Ln #k-1, Lodi, CA 95242 2006-12-06
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Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922641224 Cristina Pagan Social Worker 61 Grove St, Lodi, NJ 07644-3134 2019-10-21
1538680012 Jaimie Rhodes Social Worker 16950 N Locust Tree Rd, Lodi, CA 95240-9368 2017-07-05
1619311370 Rachel Haberman Social Worker 116 Westervelt Pl Bsmt, Lodi, NJ 07644-1027 2013-04-24
1801015680 Stefenee Dionne Camareno-clinton Social Worker 1509 Tokay St. Ste 5, Lodi, CA 95240 2007-04-24

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1619576790 Larry George Hazaert Social Worker 9828 Central Avenue, Montclair, CA 91763-2817 2020-10-20
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1467050831 Michael J Samuelson Social Worker 23501 Cinema Dr Ste 200&210, Valencia, CA 91355-5428 2020-10-16
1245837004 Tanya Renee Banks Social Worker 2280 Benton Dr # C, Redding, CA 96003-5349 2020-10-05
1669089868 Kimberly J Hansen Anderson Social Worker 12071 Tivoli Park Row Unit 2, San Diego, CA 92128-4385 2020-09-30
1558978338 Emily J White Social Worker 1225 Vienna Dr Spc 292, Sunnyvale, CA 94089-1833 2020-09-25
1255947958 Diep Le Social Worker 991 39th St Apt B, Oakland, CA 94608-3899 2020-09-17
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Competitor

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City LODI
Zip Code 95242

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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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