JENNIFER M. WALLACE CANOBBIO (NPI# 1396082434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396082434 |
| Entity Type | Individual |
| Full Name | JENNIFER M. WALLACE CANOBBIO |
| Other Name | JENNIFER M WALLACE |
| Credential | MSW, ASW |
| Practice Address |
627 Cabrillo Ave Santa Cruz CA 95065-1107 |
| Practice Telephone | 4088216832 |
| Mailing Telephone | 4088216832 |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2013-01-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
ASW33242 | CA | Behavioral Health & Social Service Providers |
| Street Address |
627 CABRILLO AVE |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95065-1107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295335743 | Mindful Living Psychotherapy | Clinic/Center | 24340 Ca-78, Ramona, CA 95065 | 2020-10-26 |
| 1265084297 | Care From The Heart In Home Services, Inc. | In Home Supportive Care | 3141 Paul Sweet Road, Santa Cruz, CA 95065 | 2019-07-10 |
| 1215410188 | Barry Lynn Keeler | Pharmacist | Dominican Plaza Pharmacy, 1595 Soquel Dr Suite 120, Santa Cruz, CA 95065 | 2018-09-07 |
| 1407212582 | Naikan Counseling Center | Community/Behavioral Health | 3319b Mission Drive, Santa Cruz, CA 95065 | 2016-01-05 |
| 1124461587 | Lindsay Mooney | Obstetrics & Gynecology | 2907 Chanticleer Ave Fl 2, Santa Cruz, CA 95065 | 2013-04-16 |
| 1689911398 | Gabriela Alejandra Torres De Fernandez | Dentist | 1588 Soquel Dr Suite 3, Santa Cruz, CA 95065 | 2013-01-15 |
| 1184999211 | Shannon Leigh Purpuri | Midwife | 401 Happy Valley Rd, Santa Cruz, CA 95065 | 2012-03-22 |
| 1619119997 | Himabindu Pitta | Hospitalist | 1555 Soquel Dr., Santa Cruz, CA 95065 | 2009-04-01 |
| 1780834614 | Rym C Partridge | Dentist | 3337 Mission Dr., Santa Cruz, CA 95065 | 2008-09-29 |
| 1710177159 | Jill Bewley | Acupuncturist | 100 Burton Dr, Santa Cruz, CA 95065 | 2007-08-01 |
| Find all providers in zip 95065 | ||||
| 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 |
|---|---|---|---|---|
| 1023621067 | Adiari Torres | Social Worker | 402 Dakota Ave Apt 8, Santa Cruz, CA 95060-4122 | 2020-08-28 |
| 1487273645 | Victoria Jeanne Dzorka | Social Worker | 125 Water St Ste A2, Santa Cruz, CA 95060-2786 | 2020-04-08 |
| 1245876002 | Steven C Weiss | Social Worker | 1740 17th Ave, Santa Cruz, CA 95062-1804 | 2019-11-26 |
| 1528610581 | Melanie Jayne Stern | Social Worker | 429 Continental St, Santa Cruz, CA 95060-6070 | 2019-07-10 |
| 1902466469 | Neil David Brown | Social Worker | 550 Water St Ste D2, Santa Cruz, CA 95060-4129 | 2019-06-17 |
| 1659851525 | Vincent J Oviedo | Social Worker | 103 Auburn Ave, Santa Cruz, CA 95060-6231 | 2018-08-20 |
| 1124490347 | Emily Fittante | Social Worker | 343 Soquel Ave #195, Santa Cruz, CA 95062 | 2015-10-27 |
| 1952788861 | Jodi Mulder | Social Worker | 903 Pacific Ave Ste 200, Santa Cruz, CA 95060-4461 | 2015-04-29 |
| 1073903050 | Christina O'halloran | Social Worker | 143 Stockton Ave, Santa Cruz, CA 95060-6219 | 2015-01-29 |
| 1972900538 | Katrina Tattenham | Social Worker | 1200 Capitola Rd Apt 21, Santa Cruz, CA 95062-2945 | 2014-11-25 |
| Find all providers in SANTA CRUZ | ||||
| City | SANTA CRUZ |
| Zip Code | 95065 |
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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.