ROBBIE KUPONO KENOBI (NPI# 1174077887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174077887 |
| Entity Type | Individual |
| Full Name | ROBBIE KUPONO KENOBI |
| Credential | LCSW |
| Practice Address |
2026 W Beacon Ave Anaheim CA 92804-4406 |
| Practice Telephone | 6572767030 |
| Practice Fax Number | 7144268160 |
| Mailing Telephone | 6572767030 |
| Mailing Fax Number | 7144268160 |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2020-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
96722 | CA | Behavioral Health & Social Service Providers |
| Street Address |
2026 W BEACON AVE |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92804-4406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598895773 | Bryan Sawlsville | Marriage & Family Therapist | 2026 W Beacon Ave, Anaheim, CA 92804-4406 | 2007-03-06 |
| 1194338996 | Jennifer Elmore | Counselor | 2026 W Beacon Ave, Anaheim, CA 92804-4406 | 2020-08-31 |
| 1174131981 | Cesar R Sandoval | Counselor | 2026 W Beacon Ave, Anaheim, CA 92804-4406 | 2020-07-17 |
| 1740817931 | Ashley Elizabeth Santos | Counselor | 2026 W Beacon Ave, Anaheim, CA 92804-4406 | 2020-03-26 |
| 1023642923 | Maria P Ng | Counselor | 2026 W Beacon Ave, Anaheim, CA 92804-4406 | 2020-02-28 |
| 1245862879 | Aracely Vanessa Arellano | Counselor | 2026 W Beacon Ave, Anaheim, CA 92804-4406 | 2020-02-11 |
| 1700418860 | Jannet Campos | Counselor | 2026 W Beacon Ave, Anaheim, CA 92804-4406 | 2020-02-06 |
| 1770143943 | Shanell Roberts | Counselor | 2026 W Beacon Ave, Anaheim, CA 92804-4406 | 2019-06-19 |
| 1134683931 | Alicia Marie Colenzo | Counselor | 2026 W Beacon Ave, Anaheim, CA 92804-4406 | 2019-01-25 |
| 1831660703 | Tamara Nabulsi | Community Based Residential Treatment Facility, Mental Illness | 2026 W Beacon Ave, Anaheim, CA 92804-4406 | 2018-12-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811517261 | Crown Care Hospice Inc | Hospice Care, Community Based | 10568 Magnolia Ave., Suite106, Stanton, CA 92804 | 2020-04-24 |
| 1154971646 | Leita Pawline Lawrene | Technician | 900 S Beach Blvd # 132, Anaheim, CA 92804 | 2019-09-17 |
| 1942767611 | Yasmen Abuyousef | Behavior Technician | 714 W Commonweath Ave, Suite C, Fullerton, CA 92804 | 2019-02-28 |
| 1225501224 | Brandon Pourazima | Physician Assistant | 631 S Brookhurst St Ste 213b, Anaheim, CA 92804 | 2019-01-02 |
| 1043782576 | Origins Home Health Care Inc. | Home Health | 137 1/2 S So Knott, Anaheim, CA 92804 | 2018-12-21 |
| 1346762150 | Inhee Shinn | Acupuncturist | 1717 W. Ball Road., Anaheim, CA 92804 | 2017-07-13 |
| 1689122459 | Jayanthi Ravikumar Md Inc | Physical Medicine & Rehabilitation | 3356 W Ball Road, #216, Anaheim, CA 92804 | 2016-09-21 |
| 1215307954 | Tuan Manh Hoang | Dentist | 1317 S. Courtright Street, Anaheim, CA 92804 | 2015-10-06 |
| 1598101602 | Optimal Sleep Center | Clinical Medical Laboratory | 3340 West Ball Road Suite B, Anaheim, CA 92804 | 2013-05-15 |
| 1376885673 | Michelle Lananh Dang | Pharmacist | 1913 W. Elm Pl, Anaheim, CA 92804 | 2013-03-25 |
| Find all providers in zip 92804 | ||||
| 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 |
|---|---|---|---|---|
| 1952950644 | Myriam Esther Calderon | Social Worker | 201 E Ball Rd, Anaheim, CA 92805-6311 | 2019-09-05 |
| 1437713898 | Gaining Clarity Licensed Clinical Social Worker Corporation | Social Worker | 7883 E Viewrim Dr, Anaheim, CA 92808-2132 | 2019-04-30 |
| 1952861593 | Christina L. Lamonica | Social Worker | 6200 E Canyon Rim Rd Ste 211e, Anaheim, CA 92807-4315 | 2019-03-20 |
| 1083153266 | Jennifer Becker | Social Worker | 1368 S Country Glen Way, Anaheim, CA 92808 | 2017-02-21 |
| 1720538283 | Kahina Kaci | Social Worker | 663 S Casita St, Anaheim, CA 92805-4747 | 2016-10-08 |
| 1720471196 | Sung H Lee | Social Worker | 1150 N Knollwood Cir, Anaheim, CA 92801-1307 | 2015-03-10 |
| 1356635361 | Lee A Lombardo | Social Worker | 294 S Leandro St, Anaheim, CA 92807-3962 | 2011-06-07 |
| 1588962617 | Elizabeth Allen | Social Worker | 7541 E Camino Tampico, Anaheim, CA 92808-1037 | 2011-03-15 |
| 1134454085 | Nicole Orsini | Social Worker | 1333 S Euclid St, Anaheim, CA 92802-2008 | 2009-10-09 |
| 1427284918 | La Tonya Marie Tingstad | Social Worker | 1811 W Katella Ave, Suite 219, Anaheim, CA 92804-6664 | 2009-06-10 |
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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.