PROVIDENCE COMMUNITY SERVICES (NPI# 1215359997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215359997 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE COMMUNITY SERVICES |
| Practice Address |
9595 Wilshire Blvd Suite 900 Beverly Hills CA 90212-2512 |
| Mailing Address |
4281 Katella Ave Los Alamitos CA 90720-3500 |
| Practice Telephone | 5624675577 |
| Practice Fax Number | 5624675553 |
| Mailing Telephone | 5624675577 |
| Mailing Fax Number | 5624675553 |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2014-01-14 |
| Authorized Official Name | MICHELLE MOLNAR (DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 5624675577 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871973073 | Providence Community Services | Community/Behavioral Health | 41 Crystal St, Apt 4, East Stroudsburg, PA 18301-2874 | 2015-06-02 |
| 1386063055 | Providence Community Services | Counselor | 2425 Olympic Blvd, Suite #4000-w, Santa Monica, CA 90404-4030 | 2014-04-10 |
| 1699194209 | Providence Community Services | Counselor | 2600 Michelson Dr, Suite #1700, Irvine, CA 92612-1550 | 2014-04-10 |
| 1124447750 | Providence Community Services | Counselor | 1140 W. Bernardo Court, Suite #300, San Diego, CA 92127 | 2014-04-10 |
| 1205255825 | Providence Community Services | Counselor | 500 N State College Blvd, Suite #1100, Orange, CA 92868-1604 | 2014-04-10 |
| 1063831931 | Providence Community Services | Counselor | 21550 Oxnard St, 3rd Floor, Woodland Hills, CA 91367-7100 | 2014-04-08 |
| 1245659135 | Providence Community Services | Counselor | 16755 Von Karman Ave, Suite #300, Irvine, CA 92606-4930 | 2014-04-08 |
| 1053730945 | Providence Community Services | Counselor | 18101 Von Karman Ave, 3rd Floor, Irvine, CA 92612-1012 | 2014-04-08 |
| 1710306600 | Providence Community Services | Counselor | 26632 Towne Centre Dr, Suite #300, Foothill Ranch, CA 92610-2813 | 2014-04-08 |
| 1255754784 | Providence Community Services | Social Worker | 3890 11th. Street, Suite 118, Riverside, CA 92501 | 2014-02-04 |
| Street Address |
9595 WILSHIRE BLVD SUITE 900 |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90212-2512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265567135 | Just for You | Home Health | 9595 Wilshire Blvd, Suite 900, Beverly Hills, CA 90212-2511 | 2007-02-22 |
| 1477976033 | Beverly Hills Alternative Medicine Specialists | Homeopath | 9595 Wilshire Blvd, Suite 900, Beverly Hills, CA 90212-2512 | 2014-01-31 |
| 1992127211 | Harlan Annsworth Powers | Surgery | 9595 Wilshire Blvd, Suite 900, Beverly Hills, CA 90212-2512 | 2014-01-07 |
| 1124343959 | Tishuk Global, Inc | Radiology | 9595 Wilshire Blvd, Suite 900, Beverly Hills, CA 90212-2512 | 2010-04-05 |
| 1598890469 | Prestige | Nursing Care | 9595 Wilshire Blvd, Suite 900, Beverly Hills, CA 90212-2511 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629535604 | Diego Bautista | Specialist/Technologist, Other | 324 S Beverly Drive #214, Beverely Hills, CA 90212 | 2019-02-26 |
| 1124582978 | California Surgery of Excellence, LLC | Clinic/Center | 269 S Beverly Dr Ste 809, Beverly Hills, CA 90212 | 2019-01-25 |
| 1356818132 | Kari Michelle Sacks | Social Worker | 300 South Beverly Drive, Beverly Hills, CA 90212 | 2018-10-30 |
| 1942782370 | Susan Elizabeth Smiley | Technician, Other | 160 S. Lasky Drive, Beverly Hills, CA 90212 | 2018-09-01 |
| 1417443714 | Sharona Asal Mossazadeh | Physician Assistant | 344 S Rodeo Dr, Beverly Hills, CA 90212 | 2018-07-10 |
| 1760983167 | Nina Rebecca Moradi | Marriage & Family Therapist | 420 S. Beverly Dr., Suite 100-19, Beverly Hills, CA 90212 | 2018-02-22 |
| 1376065946 | Rebecca Shelly Agi | Lactation Consultant, Non-RN | 350 South Reeves Dr., 201, Beverly Hills, CA 90212 | 2017-07-14 |
| 1952853582 | Dmarkis Randolph | Dietetic Technician, Registered | 269 S Beverly Drive, 1038, Beverly Hills, CA 90212 | 2016-10-31 |
| 1023560935 | Barrence Baytos | Kinesiotherapist | 260 S. Beverly Drive, Suite # 210, Beverly Hills, CA 90212 | 2016-10-26 |
| 1467810424 | Laura Fischer | Registered Nurse | 120 S Spalding Dr Ste 301, Beverly Hills, CA 90212 | 2016-02-05 |
| Find all providers in zip 90212 | ||||
| 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 |
|---|---|---|---|---|
| 1225643786 | Diane Garcia | Social Worker | 436 N. Roxbury Drive, Suite 218, Beverly Hills, CA 90210 | 2020-09-11 |
| 1538780903 | Rashawn Jones | Social Worker | 31000 Lahser Rd Ste 5, Beverly Hills, MI 48025-4847 | 2020-04-27 |
| 1104445451 | Pilar Yvette Stein | Social Worker | 139 S Beverly Dr Ste 336, Beverly Hills, CA 90212-3020 | 2020-04-15 |
| 1144878117 | Katie Jacobs I | Social Worker | 120 El Camino Dr Ste 220, Beverly Hills, CA 90212-2723 | 2019-09-03 |
| 1497315246 | Lynda Labie Chassler | Social Worker | 9615 Brighton Way Ste 230, Beverly Hills, CA 90210-5118 | 2019-06-14 |
| 1497311849 | Luz Kyncl | Social Worker | 292 S La Cienega Blvd Ste 320, Beverly Hills, CA 90211-3318 | 2019-05-10 |
| 1083187587 | Paper Cranes Counseling | Social Worker | 300 S Beverly Dr Ste 301, Beverly Hills, CA 90212-4806 | 2019-01-07 |
| 1356818132 | Kari Michelle Sacks | Social Worker | 300 South Beverly Drive, Beverly Hills, CA 90212 | 2018-10-30 |
| 1972095743 | Lucy Choi Kim | Social Worker | 415 N Camden Dr Ste 117, Beverly Hills, CA 90210-4437 | 2018-06-06 |
| 1134646565 | Savannah Hoffman | Social Worker | 9400 Brighton Way Ste 307, Beverly Hills, CA 90210-4710 | 2017-08-25 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 90212 |
Please comment or provide details below to improve the information on PROVIDENCE COMMUNITY SERVICES.
| 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.