LACY CANTON (NPI# 1184141038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184141038 |
| Entity Type | Individual |
| Full Name | LACY CANTON |
| Practice Address |
1150 Bancroft Ave San Leandro CA 94577 |
| Mailing Address |
4533 Virginia Ave Oakland CA 94619-2663 |
| Practice Telephone | 5106184380 |
| Mailing Telephone | 4156789372 |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2018-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041S0200X |
Social Worker Specialization: School |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1150 Bancroft Ave, San Leandro, CA 945773863 | 5106184380 |
| Street Address |
1150 BANCROFT AVE |
| City | SAN LEANDRO |
| State | CA |
| Zip Code | 94577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235564667 | East Bay Agency for Children | Community/Behavioral Health | 1150 Bancroft Ave, San Leandro, CA 94577-3863 | 2013-09-04 |
| 1659828614 | East Bay Agency for Children | Community/Behavioral Health | 1150 Bancroft Ave, San Leandro, CA 94577-3863 | 2016-09-07 |
| 1194134890 | John Conant | Marriage & Family Therapist | 1150 Bancroft Ave, San Leandro, CA 94577-3863 | 2014-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093358574 | A Caring Heart Home Health Inc. | In Home Supportive Care | 215-237 Estudillo Ave, Suite 202, San Leandro, CA 94577 | 2019-10-28 |
| 1871070052 | New Connections Neuropsychology, PC | Clinical Neuropsychologist | 1057 Macarthur Blvd, Ste 214, San Leandro, CA 94577 | 2018-07-20 |
| 1790287266 | Jennifer Capilla | Behavior Technician | 333 Estudillo Ave #204, San Leandro, CA 94577 | 2018-03-01 |
| 1891296760 | Maryann Kruse Bens | Clinical Neuropsychologist | 1057 Macarthur Blvd Ste 214, San Leandro, CA 94577 | 2018-02-26 |
| 1811406721 | Brendon Hoang Nguyen | Dentist | 145 E 14th St, San Leandro, CA 94577 | 2017-09-22 |
| 1801311774 | Calvin Walker | Counselor | 3801 Teagarden Street, San Leandro, CA 94577 | 2017-08-11 |
| 1184154999 | Shauntrinae Mason | Marriage & Family Therapist | 1000 San Leandro Blvd., Suite 300, San Leandro, CA 94577 | 2017-06-14 |
| 1912453135 | Dr. Marshea Evans | Point of Service | 1068 E14th Street, San Leandro, CA 94577 | 2016-08-28 |
| 1902252935 | Mobility Express Medical Transportation | Non-emergency Medical Transport (VAN) | 1695 Abram Ct Ste 202, San Leandro, CA 94577 | 2016-05-09 |
| 1194170381 | Girls Incorporated of Alameda County | Community/Behavioral Health | 2251 Bancroft Ave, San Leandro, CA 94577 | 2016-04-26 |
| Find all providers in zip 94577 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851810428 | Charles Salem | Social Worker | 13050 Aurora Dr, San Leandro, CA 94577-3159 | 2017-09-15 |
| 1588159610 | Emma Marie Enav | Social Worker | 1000 San Leandro Blvd Ste 300, San Leandro, CA 94577-1675 | 2018-07-01 |
| 1831618420 | Sarah Kim Seitz | Social Worker | 1000 San Leandro Blvd Ste 300, San Leandro, CA 94577-1675 | 2017-09-14 |
| 1750817615 | Corina Resendez Rojo | Social Worker | 1000 San Leandro Blvd Ste 300, San Leandro, CA 94577-1675 | 2017-05-11 |
| 1770988032 | Jordan Daniel Haar | Social Worker | 1000 San Leandro Blvd, Suite 300, San Leandro, CA 94577-1598 | 2014-10-29 |
| 1437565686 | Peter Y Lee | Social Worker | 1000 San Leandro Blvd Ste 300, San Leandro, CA 94577-1675 | 2014-07-09 |
| 1427480854 | Olga Gutierrez | Social Worker | 1000 San Leandro Blvd Ste 300, San Leandro, CA 94577-1675 | 2013-08-08 |
| 1497192744 | Kathleen T Graves | Social Worker | 1000 San Leandro Blvd Ste 300, San Leandro, CA 94577-1675 | 2013-05-28 |
| 1770845869 | Phillip Henry Lolonis | Social Worker | 2045 Fairmont Dr, San Leandro, CA 94578-1088 | 2012-06-13 |
| 1093098626 | Allyson Fritz | Social Worker | 1000 San Leandro Blvd Ste 300, San Leandro, CA 94577-1675 | 2011-09-20 |
| Find all providers in SAN LEANDRO | ||||
| City | SAN LEANDRO |
| Zip Code | 94577 |
Please comment or provide details below to improve the information on LACY CANTON.
| 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.