MR. JAMES COLEBROOK SEYMOUR III (NPI# 1366504946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366504946 |
| Entity Type | Individual |
| Full Name | MR. JAMES COLEBROOK SEYMOUR III |
| Credential | LCSW |
| Practice Address |
1745 Enterprise Dr Building #2 - Scmh Fairfield CA 94533-5801 |
| Practice Telephone | 7073994900 |
| Mailing Telephone | 7073994900 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2010-12-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
25642 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265965693 | James Seymour | Student in an Organized Health Care Education/Training Program | 1824 Paseo Real Cir, El Paso, TX 79936-3720 | 2017-04-03 |
| 1144401605 | James Kevin Seymour | Physical Therapist | 840 Stevens Creek Raod, Augusta, GA 30907 | 2007-11-26 |
| 1487784195 | James Seymour | Counselor | 1125 Missoula Ave Ste C, Helena, MT 59601-3801 | 2007-03-06 |
| 1033533641 | James Seymour | Counselor | 8201 Mish Ko Swen Dr, Crandon, WI 54520-8631 | 2014-02-18 |
| Street Address |
1745 ENTERPRISE DR BUILDING #2 - SCMH |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94533-5801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558435230 | Tomikka Kimberly Lee | Social Worker | 1745 Enterprise Dr, V110 Bldg 2, Fairfield, CA 94533-5801 | 2006-11-17 |
| 1275150286 | Patricia Baker | Counselor | 1745 Enterprise Dr, Fairfield, CA 94533-5801 | 2020-06-25 |
| 1669097457 | Dina L Sandersmayfield | Counselor | 1745 Enterprise Dr, Fairfield, CA 94533-5801 | 2020-06-08 |
| 1881066769 | Autumn Makamson | Social Worker | 1745 Enterprise Dr, Fairfield, CA 94533-5801 | 2015-10-30 |
| 1376924910 | Sofia Herrera | Social Worker | 1745 Enterprise Dr, Bldg 2, First Floor, Suite V110, Fairfield, CA 94533-5801 | 2015-06-09 |
| 1649657248 | Agape Counseling Center and Network | Community/Behavioral Health | 1745 Enterprise Dr, Bldg 2, Fairfield, CA 94533-5801 | 2015-05-04 |
| 1366706806 | Srbui Sabrina Dertsakyan | Psychologist | 1745 Enterprise Dr, Fairfield, CA 94533-5801 | 2012-06-29 |
| 1841523719 | Heather Doumbia | Counselor | 1745 Enterprise Dr, Fairfield, CA 94533-5801 | 2009-09-10 |
| 1245480862 | Patricia Ann Boykin | Student in an Organized Health Care Education/Training Program | 1745 Enterprise Dr, Building 2, I-64, Fairfield, CA 94533-5801 | 2008-09-19 |
| 1649439233 | Reggie A Smith | Counselor | 1745 Enterprise Dr, Fairfield, CA 94533-5801 | 2008-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487347 | Shayondelice Sledge | Case Manager/Care Coordinator | 3001 N. Texas St., #27, Fairfield, CA 94533 | 2020-08-16 |
| 1508401191 | Tiffany Ann Garcia | Social Worker | 1301 Roman Way, Martinez, CA 94533 | 2019-11-07 |
| 1609424175 | Andrew Stephens | Student in an Organized Health Care Education/Training Program | Dgmc, 101 Bodin Cir, Fairfield, CA 94533 | 2019-08-28 |
| 1821645383 | Michelle Marie Hackett | Marriage & Family Therapist | 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 | 2019-08-20 |
| 1780154369 | Maria Leonila Ramos Corpuz | Behavior Technician | 744 Empire Street Suite 160, Fairfield, CA 94533 | 2018-11-27 |
| 1629575303 | Jeanne Ann Kiernan | Dentist | 690 Airman Dr, Apo, AA 94533 | 2018-04-10 |
| 1629596820 | Max Kardos | Student in an Organized Health Care Education/Training Program | 801 Empire St., Fairfield, CA 94533 | 2017-09-07 |
| 1780119867 | Justin Denhart Dickson | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 | 2017-04-26 |
| 1639613409 | Behrooz Shafiezadeh | Marriage & Family Therapist | Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 | 2016-12-13 |
| 1427500164 | Tanya Ayers | Counselor | 801 Empire Street, Fairfield, CA 94533 | 2016-10-28 |
| Find all providers in zip 94533 | ||||
| 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 |
|---|---|---|---|---|
| 1437757838 | Tree of Life Centers | Social Worker | 191 Catherine Ter, Fairfield, CT 06824-6463 | 2020-10-16 |
| 1386260040 | Phoebe Ward Gould Musico | Social Worker | 45 Pope St, Fairfield, CT 06825-4328 | 2020-06-18 |
| 1003445008 | Jennifer Mikell Lincoln | Social Worker | 1325 Crowley Ln Apt 6, Fairfield, CA 94533-6001 | 2020-04-02 |
| 1174166185 | Holly Mundon | Social Worker | 5 Darby Heath, Fairfield, OH 45014-5261 | 2019-10-22 |
| 1831652064 | Seagull Counseling & Therapy LLC | Social Worker | 35 Nutmeg Lane, Fairfield, CT 06824 | 2019-04-14 |
| 1730642935 | Susan Lipman Henry | Social Worker | 35 Nutmeg Ln, Fairfield, CT 06824-3909 | 2019-04-13 |
| 1689138133 | Sue Nadel | Social Worker | 60 Hitching Post Ln, Fairfield, CT 06824-3133 | 2019-01-29 |
| 1194296905 | Claudia Mast | Social Worker | 301 W Burlington, Fairfield, IA 52556-5255 | 2018-12-06 |
| 1942782842 | Michael Joseph Molina | Social Worker | 510 Parker Rd, Fairfield, CA 94533-9000 | 2018-09-06 |
| 1134605256 | Ashley Marie Stringer | Social Worker | 7000 Grasselli Rd, Fairfield, AL 35064-2424 | 2018-07-11 |
| Find all providers in FAIRFIELD | ||||
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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.