MR. ABRAHAM J PENA (NPI# 1245619402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245619402 |
| Entity Type | Individual |
| Full Name | MR. ABRAHAM J PENA |
| Credential | LMP, MSW, LICSW |
| Practice Address |
11701 63rd Ave E Puyallup WA 98373-4333 |
| Practice Telephone | 2064984259 |
| Mailing Telephone | 2064984259 |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2020-02-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LW60814904 | WA | Behavioral Health & Social Service Providers |
| N | 225700000X | Massage Therapist | MA 60529305 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
11701 63RD AVE E |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98373-4333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494711 | Caroline Brown Corbett | Dentist | 8012 112th St Ct E #320, Puyallup, WA 98373 | 2020-10-13 |
| 1629615760 | Jessie Jean Waiamau-ariota | Counselor | Winds of Liberty, 702 S Hill Park Dr Ste 206, Puyallup, WA 98373 | 2019-12-09 |
| 1194369181 | Ruba H Tawil | Dentist | 12005 Meridian E # 102, Puyallup, WA 98373 | 2019-11-01 |
| 1336621267 | Cara Tseng | Physician Assistant | 2940 S Meridian, Suite 200, Puyallup, WA 98373 | 2018-09-06 |
| 1902390289 | Melissa M Jenkins | Registered Nurse | 2920 S Meridian Ste 100, Puyallup, WA 98373 | 2018-06-19 |
| 1881141323 | Linda Cole | Massage Therapist | 8409 204th Street East, Spanaway, WA 98373 | 2016-09-01 |
| 1861855389 | Christina Leigh Bailey | Optometrist | 3500 S Meridian Ste 926, Puyallup, WA 98373 | 2016-04-01 |
| 1518301951 | Bryan Michael Swanson | Dentist | 2910 S Meridian Ste 120, Puyallup, WA 98373 | 2013-04-27 |
| 1760720569 | Vankosin Hewitt | Massage Therapist | 13613 Meridian East # 260, Puyallup, WA 98373 | 2013-01-29 |
| 1558607705 | Rosie Martinez | Counselor | 12812 101st Avenue Courte E, Suite 202, Puyallup, WA 98373 | 2012-12-17 |
| Find all providers in zip 98373 | ||||
| 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 |
|---|---|---|---|---|
| 1720438435 | Susan June Arthur | Social Worker | 427 17th St Nw, Puyallup, WA 98371-5121 | 2016-06-14 |
| 1063811586 | Candice Eli | Social Worker | 606 E Main, Suite B, Puyallup, WA 98372-3348 | 2014-08-20 |
| 1497007827 | Randy Faith Roberts | Social Worker | 6303 155th Street Ct E, Puyallup, WA 98375-7495 | 2012-10-09 |
| 1306070057 | Jamie Lynn Simmer | Social Worker | 14320 Bath Rd E, Puyallup, WA 98374-9465 | 2009-05-11 |
| 1356474936 | Michael Kevin Strub | Social Worker | 802 39th Ave Sw, Puyallup, WA 98373-5915 | 2007-03-13 |
| 1669089207 | Angela Enlow | Social Worker | 401 15th Ave Se, Puyallup, WA 98372-3715 | 2020-09-28 |
| 1740806868 | Liliana Lopez | Social Worker | 325 E Pioneer, Puyallup, WA 98372-3265 | 2020-06-24 |
| 1942846548 | Sally Jane Lymangrover Connors | Social Worker | 1706 S Meridian, Puyallup, WA 98371-7516 | 2019-11-19 |
| 1902372717 | Teresa Ann Holt-schaad | Social Worker | 325 E Pioneer, Puyallup, WA 98372-3265 | 2018-10-18 |
| 1669963906 | Ashley Elizabeth Leavitt | Social Worker | 325 E Pioneer, Puyallup, WA 98372-3265 | 2018-05-22 |
| Find all providers in PUYALLUP | ||||
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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.