PAIGE DYER WOODARD (NPI# 1437678224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437678224 |
| Entity Type | Individual |
| Full Name | PAIGE DYER WOODARD |
| Credential | M.A |
| Practice Address |
10400 Fricot City Rd San Andreas CA 95249-9642 |
| Mailing Address |
1809 E Anita St Stockton CA 95205-4232 |
| Practice Telephone | 2097364500 |
| Mailing Telephone | 2096395009 |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2017-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 103TR0400X |
Psychologist Specialization: Rehabilitation |
Behavioral Health & Social Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
10400 FRICOT CITY RD |
| City | SAN ANDREAS |
| State | CA |
| Zip Code | 95249-9642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609092212 | Lauren Rae Liberty | Social Worker | 10400 Fricot City Rd, San Andreas, CA 95249-9642 | 2007-04-18 |
| 1629679634 | Tiffany Souza | Counselor | 10400 Fricot City Rd, San Andreas, CA 95249-9642 | 2020-11-05 |
| 1063039758 | Arianna Zylstra | Emergency Medical Technician, Basic | 10400 Fricot City Rd, San Andreas, CA 95249-9642 | 2020-06-29 |
| 1902430077 | Laura Huston | Registered Nurse | 10400 Fricot City Rd, San Andreas, CA 95249-9642 | 2020-02-27 |
| 1376003277 | Rite of Passage Adolescent Treatment Centers and Schools Inc. | Clinic/Center | 10400 Fricot City Rd, San Andreas, CA 95249-9642 | 2019-03-25 |
| 1992265714 | Ramon Francisco Ruiz Sr. | Case Management | 10400 Fricot City Rd, San Andreas, CA 95249-9642 | 2019-03-20 |
| 1194284158 | Miguel Picasso | Case Management | 10400 Fricot City Rd, San Andreas, CA 95249-9642 | 2019-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184265175 | Meadowmont Pharmacy Inc | Pharmacy | 45 E Saint Charles St Ste C, San Andreas, CA 95249 | 2019-10-01 |
| 1225501844 | Samantha Jolene Cooper | Marriage & Family Therapist | 23 West Saint Charles, San Andreas, CA 95249 | 2019-01-07 |
| 1063992865 | Regina Elizabeth King | Speech-Language Pathologist | 255 Lewis Avenue, San Andreas, CA 95249 | 2018-08-21 |
| 1770060113 | Hilary Rose Gambetta | Speech-Language Pathologist | 3304 Highway 12, San Andreas, CA 95249 | 2018-07-27 |
| 1528508488 | Mact Health Board, Inc. | Optometrist | 1113a Highway 49, San Andreas, CA 95249 | 2017-02-27 |
| 1548704562 | Elizabeth Thompson | Non-emergency Medical Transport (VAN) | 130 E Saint Charles St, San Andreas, CA 95249 | 2016-12-09 |
| 1952730194 | Asha Brock | Marriage & Family Therapist | 593 West Saint Charles Street, San Andreas, CA 95249 | 2013-11-07 |
| 1376897355 | Marjorie Frances Kallis | Registered Nurse | 87 East St Charles St, San Andreas, CA 95249 | 2012-10-30 |
| 1841544897 | Curtis Saxton | Durable Medical Equipment & Medical Supplies | 620 East Saint Charles St., San Andreas, CA 95249 | 2012-10-30 |
| 1962759522 | Calaveras County Behavioral Health Children | Community/Behavioral Health | 373 West St.charles Street, Suite B, San Andreas, CA 95249 | 2012-08-13 |
| Find all providers in zip 95249 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576402 | Danielle Lorraine Pullin | Case Manager/Care Coordinator | 891 Mountain Ranch Road, Behavioral Health Department, San Andreas, CA 95249 | 2020-10-22 |
| 1922636075 | Betty Jean Johnson | Case Manager/Care Coordinator | 891 Mountain Ranch Rd, San Andreas, CA 95249-9713 | 2020-04-01 |
| 1659916872 | Heather Willats | Case Manager/Care Coordinator | 891 Mountain Ranch Rd, San Andreas, CA 95249-9713 | 2019-11-12 |
| 1437708377 | Jason Turzai | Case Manager/Care Coordinator | 891 Mountain Ranch Rd, San Andreas, CA 95249-9713 | 2019-09-04 |
| 1053967836 | Denice Lee Fonceca | Case Manager/Care Coordinator | 891 Mountain Ranch Rd, San Andreas, CA 95249-9713 | 2019-08-16 |
| 1528539939 | Christopher Robinson | Case Manager/Care Coordinator | 891 Mountain Ranch Rd, San Andreas, CA 95249-9713 | 2018-12-10 |
| 1740756691 | Lee Kimball | Case Manager/Care Coordinator | 891 Mountain Ranch Rd, San Andreas, CA 95249-9713 | 2018-10-18 |
| 1710462064 | Jesus Gonzales | Case Manager/Care Coordinator | 891 Mountain Ranch Rd, San Andreas, CA 95249-9713 | 2018-10-02 |
| 1790227551 | Codi Mackiewicz | Case Manager/Care Coordinator | 891 Mountain Ranch Rd, San Andreas, CA 95249-9713 | 2016-11-10 |
| 1053730317 | Kristie Bellamy | Case Manager/Care Coordinator | 891 Mountain Ranch Rd, San Andreas, CA 95249 | 2014-04-15 |
| Find all providers in SAN ANDREAS | ||||
| City | SAN ANDREAS |
| Zip Code | 95249 |
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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.