CANCER RESOURCE CENTER OF THE DESERT (NPI# 1174048680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174048680 |
| Entity Type | Organization |
| Organization Name | CANCER RESOURCE CENTER OF THE DESERT |
| Practice Address |
444 S 8th St Ste B3 El Centro CA 92243-3236 |
| Mailing Address |
Po Box 513 El Centro CA 92244-0513 |
| Practice Telephone | 7603536571 |
| Practice Fax Number | 7603536571 |
| Mailing Telephone | 7603536571 |
| Mailing Fax Number | 7603536281 |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2017-08-07 |
| Authorized Official Name | HELEN PALOMINO (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7603536571 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | Y |
| Parent Organization Name | CANCER RESOURCE CENTER OF THE DESERT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | LCSW70046 | CA | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | LCSW70046 | CA | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | CA | Student, Health Care | |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW70046 | CA | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CANCER RESOURCE CENTER OF THE DESERT | 444 S 8th St Ste B3, El Centro, CA 92243-3236 |
| Street Address |
444 S 8TH ST STE B3 |
| City | EL CENTRO |
| State | CA |
| Zip Code | 92243-3236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
| 1346856671 | Ana Lilia Solorio | Health Educator | 1415 Ross Ave., El Centro, CA 92243 | 2020-09-22 |
| 1467073775 | Mabel Janet Castro-ley | Counselor | 22 N 8th St., El Centro, CA 92243 | 2020-04-28 |
| 1831723030 | Guadalupe Heredia | Registered Nurse | 1415 Ross Ave El Centro Ca, El Centro, El Centro, CA 92243 | 2020-02-26 |
| 1851948061 | Hamlet Khachatryan Dds, Inc. | Dentist | 1698 Cruickshank Drive, Suite B, El Centro, CA 92243 | 2019-08-22 |
| 1104478924 | Courtney Barker | Occupational Therapist | 1161 Main St., El Centro, CA 92243 | 2019-07-11 |
| 1891350997 | Amy Nguyen Dao | Nurse Practitioner | 852 Danenberg Drive, El Centro, CA 92243 | 2019-05-03 |
| 1538723622 | Patrick H Dao | Nurse Practitioner | 852 Danenberg Dr., El Centro, CA 92243 | 2019-04-24 |
| 1114494861 | Alba Care Mental Health Serrvices | Counselor | 1498 Main Street, El Centro, CA 92243 | 2018-10-31 |
| 1922503085 | Joanne P. Goode | Nurse Practitioner | El Centro Health Clinic, 651 Wake Avenue, El Centro, CA 92243 | 2018-03-29 |
| Find all providers in zip 92243 | ||||
| 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 |
|---|---|---|---|---|
| 1295227205 | Alma Sauceda | Social Worker | 1002 Wake Ave, El Centro, CA 92243-9691 | 2018-06-05 |
| 1538524103 | Helen Palomino | Social Worker | 444 S 8th St, Suite B-3, El Centro, CA 92243-3236 | 2015-12-23 |
| 1477782852 | Veronica Christina Landeros | Social Worker | 1073 Ross Ave Ste C, El Centro, CA 92243-4371 | 2009-07-07 |
| 1992892939 | Marilyn Audrey Moskowitz | Social Worker | 300 S Imperial Ave Ste 6, El Centro, CA 92273 | 2006-10-10 |
| 1902999642 | Elma V Briceno | Social Worker | 729 Sandalwood Dr, El Centro, CA 92243-3944 | 2006-10-02 |
| 1801403720 | Edgar Rios | Social Worker | 202 N 8th St, El Centro, CA 92243-2302 | 2020-09-24 |
| 1417484528 | Viviane Stephany Rodriguez-velasquez | Social Worker | 202 N 8th St, El Centro, CA 92243-2302 | 2017-05-19 |
| 1801291075 | Jammy Auyon | Social Worker | 495 E Orange Ave, El Centro, CA 92243-2744 | 2014-10-29 |
| 1871997692 | Amy Bullock | Social Worker | 1073 Ross Ave Ste C, El Centro, CA 92243-4371 | 2014-10-22 |
| 1407117658 | Daniela Elihu | Social Worker | 729 W Main St, El Centro, CA 92243-2921 | 2012-06-05 |
| Find all providers in EL CENTRO | ||||
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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.