MRS. JEAN RUTH FOWLER (NPI# 1306899075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306899075 |
| Entity Type | Individual |
| Full Name | MRS. JEAN RUTH FOWLER |
| Credential | LCSW MFT |
| Practice Address |
5300 Patrick Creek Dr Mckinleyville CA 95519-8024 |
| Practice Telephone | 7078390123 |
| Mailing Telephone | 7078390123 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 1041C0700X |
Social Worker Specialization: Clinical |
118 | CA | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | 5751 | CA | Behavioral Health & Social Service Providers |
| Street Address |
5300 PATRICK CREEK DR |
| City | MCKINLEYVILLE |
| State | CA |
| Zip Code | 95519-8024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700839420 | Jerry Fowler | Social Worker | 5300 Patrick Creek Dr, Mckinleyville, CA 95519-8024 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477174555 | Humboldt County Behavioral Health | Community/Behavioral Health | 1615 Heartwood Drive, Mckinleyville, CA 95519 | 2020-04-30 |
| 1417518291 | Erika Adams | Dental Hygienist | 2050 Silkwood St, Mckinleyville, CA 95519 | 2019-06-24 |
| 1275808354 | Laurie Goldberg Sanders | Behavioral Analyst | 1116 Hayes Rd, Mckinleyville, CA 95519 | 2012-03-21 |
| 1295956381 | Ralph Leroy Davis | Dentist | 1661 Picket Ave, Mckinleyville, CA 95519 | 2007-05-02 |
| 1598858169 | Open Door Community Health Centers | Clinic/Center | 1644 Central Avenue, Suite F, Mckinleyville, CA 95519 | 2006-10-02 |
| 1508887001 | Cindy Siemens | Counselor | 1660 Central Av, Ste I, Mckinleyville, CA 95519 | 2006-07-21 |
| 1134630148 | Yvonne Lynn Guido | Counselor | 1560 Betty Ct Ste A, Mckinleyville, CA 95519 | 2017-10-17 |
| 1043307853 | Nathan Ransom Copple | Family Medicine | 1644 Central Avenue, Suite F, Mckinleyville, CA 95519 | 2006-10-05 |
| 1083700710 | Reilley Mullin | Nurse Practitioner | 1644 Central Avenue, Suite F, Mckinleyville, CA 95519 | 2006-10-04 |
| 1457444192 | Glorie Lorrie Williamson | Registered Nurse | 1644 Central Avenue, Suite F, Mckinleyville, CA 95519 | 2006-10-02 |
| Find all providers in zip 95519 | ||||
| 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 |
|---|---|---|---|---|
| 1104390467 | Emily Agredano | Social Worker | 1225 Central Ave Ste 3, Mckinleyville, CA 95519-4390 | 2019-01-18 |
| 1659562791 | Rebecca Porteous | Social Worker | 3135 Boeing Ave Ste A1, Mckinleyville, CA 95519-9373 | 2007-08-05 |
| 1124590393 | Karen Jean Santos | Social Worker | 1560 Betty Ct Ste A, Mckinleyville, CA 95519-4178 | 2018-12-27 |
| 1578898847 | Bonnie M. Carroll | Social Worker | 1225 Central Ave, Suite #3, Mckinleyville, CA 95519-4390 | 2009-10-05 |
| 1700839420 | Jerry Fowler | Social Worker | 5300 Patrick Creek Dr, Mckinleyville, CA 95519-8024 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295244 | Keith Aaron Rivera | Social Worker | 605 Sundahl Dr, Folsom, CA 95630-6353 | 2020-11-03 |
| 1043811482 | Ofelia Stephanie Gonzalez | Social Worker | 252 San Jose St. Upstairs Suite, Salinas, CA 93901 | 2020-11-03 |
| 1780284356 | Tyler Young | Social Worker | 73140 Guadalupe Ave, Palm Desert, CA 92260-2858 | 2020-10-31 |
| 1588264220 | Danielle Segal | Social Worker | 10085 Nicolas Dr Unit B, Truckee, CA 96161-1871 | 2020-10-30 |
| 1598365389 | Camila Alaasam | Social Worker | 2145 Myrtle Ave # 3323, Eureka, CA 95501-3323 | 2020-10-29 |
| 1720688906 | Jennifer L Salcido | Social Worker | 2292 Celeste Ave, Clovis, CA 93611-6253 | 2020-10-28 |
| 1730788217 | Tara Christine Stafford | Social Worker | 30 Carlyle Ct, Danville, CA 94506-6147 | 2020-10-26 |
| 1730788282 | Fatima Billoo | Social Worker | 18928 Lassen St, Northridge, CA 91324-1835 | 2020-10-25 |
| 1306445903 | Enerje Wellness Licenced Clinical Social Worker | Social Worker | 7121 Magnolia Ave Ste O, Riverside, CA 92504-3805 | 2020-10-23 |
| 1972102671 | Kimberly Sherman | Social Worker | 1110 Ranleigh Way, Piedmont, CA 94610-1135 | 2020-10-22 |
| Find all providers with the same taxonomy | ||||
| City | MCKINLEYVILLE |
| Zip Code | 95519 |
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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.