KRISTEN MARIE O'DWYER (NPI# 1447672191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447672191 |
| Entity Type | Individual |
| Full Name | KRISTEN MARIE O'DWYER |
| Other Name | KRISTEN MARIE CARROLL |
| Credential | LCSW |
| Practice Address |
2305 Historic Decatur Rd Ste 100 San Diego CA 92106 |
| Mailing Address |
2305 Historic Decatur Rd Ste 100 San Diego CA 92106-6071 |
| Practice Telephone | 6197087100 |
| Mailing Telephone | 2488916946 |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2019-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
09773 | CA | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801097655 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LCSW | 90773 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 114 Orchard Lake Rd, Pontiac, MI 483412244 | 2488587766 | 2488588227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417286501 | Kristen Marie O'dwyer | Internal Medicine | 601 Elmwood Ave, Box Med, Rochester, NY 14642-0001 | 2009-12-18 |
| Street Address |
2305 HISTORIC DECATUR RD STE 100 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659704542 | Sarah Hanem Izaguirre | Counselor | 2305 Historic Decatur Rd Ste 100, San Diego, CA 92106 | 2013-08-14 |
| 1982240651 | Dustine Doan | Case Manager/Care Coordinator | 2305 Historic Decatur Rd Ste 100, San Diego, CA 92106-6071 | 2019-11-18 |
| 1538703962 | Noah Johnston | Peer Specialist | 2305 Historic Decatur Rd Ste 100, San Diego, CA 92106-6071 | 2019-10-29 |
| 1306489737 | Perlita Cecilia Ortiz | Case Manager/Care Coordinator | 2305 Historic Decatur Rd Ste 100, San Diego, CA 92106-6071 | 2019-10-17 |
| 1376184465 | Eric Van Der Voort Psychology PC | Community/Behavioral Health | 2305 Historic Decatur Rd Ste 100, San Diego, CA 92106-6071 | 2019-10-01 |
| 1609422286 | Ashlee Lauren Bolt Nursing Inc | Clinic/Center | 2305 Historic Decatur Rd Ste 100, San Diego, CA 92106-6071 | 2019-08-10 |
| 1225680341 | Kim Elizier Sorrell | Counselor | 2305 Historic Decatur Rd Ste 100, San Diego, CA 92106-6071 | 2019-07-09 |
| 1104390442 | Heart of The Matter Family Counseling Inc | Marriage & Family Therapist | 2305 Historic Decatur Rd Ste 100, San Diego, CA 92106-6071 | 2019-01-21 |
| 1366926495 | Eric William Van Der Voort | Psychologist | 2305 Historic Decatur Rd Ste 100, San Diego, CA 92106-6071 | 2018-09-25 |
| 1427415967 | Integrative Mind & Body Psychotherapy, Inc. | Psychologist | 2305 Historic Decatur Rd Ste 100, San Diego, CA 92106-6071 | 2016-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821650300 | Ktre1, LLC | Assisted Living Facility | 3219 Canon St., San Diego, CA 92106 | 2019-07-03 |
| 1093289910 | Ahsha Smith | Occupational Therapist | 2026 Roosevelt Road, #105, San Diego, CA 92106 | 2019-01-14 |
| 1710429147 | William Anthony Rodriquez | Social Worker | 140 Sylvester Ln. Building 500, Sarp Naval Base Pt Loma, San Diego, CA 92106 | 2016-11-16 |
| 1992123285 | Mark Wilson | Occupational Therapist | 2820 Roosevelt Road Ste 105, San Diego, CA 92106 | 2014-04-03 |
| 1285945451 | Danielle R Michaelis Castillo | Marriage & Family Therapist | 2305 Historic Decatur Rd., Suite 100, San Diego, CA 92106 | 2010-06-23 |
| 1588991145 | Philip Charles Rumsey | Dentist | 1050 Rosecrans St., Suite J, San Diego, CA 92106 | 2009-11-03 |
| 1801024575 | David Michael Spera | Dentist | 1050 Rosecrans, #j, San Diego, CA 92106 | 2009-07-01 |
| 1548408834 | Dolores Sanchez Pullen | Counselor | 1360 Rosecrans Street, Suite I, San Diego, CA 92106 | 2009-01-26 |
| 1215188362 | Jodi Lynn Ceballos | Psychologist | 2186 Historic Decatur Rd Unit 40, San Diego, CA 92106 | 2008-10-07 |
| 1407051485 | James Robert Becroft | Chiropractor | 5055 N. Harbor Dr, 110, San Diego, CA 92106 | 2007-06-19 |
| Find all providers in zip 92106 | ||||
| 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 |
|---|---|---|---|---|
| 1154920536 | Gillian Boyd | Social Worker | 3147 Eel Alley Building 271, Room 106, San Diego, CA 92136-0001 | 2020-10-18 |
| 1194338087 | Courage Over Comfort Counseling Licensed Clinical Social Worker PC | Social Worker | 4283 El Cajon Blvd Ste 226, San Diego, CA 92105-1289 | 2020-08-28 |
| 1619580057 | Joseph Stephen Mcconico | Social Worker | 5274 Mount Alifan Dr, San Diego, CA 92111-2621 | 2020-08-25 |
| 1821600529 | David James Prince | Social Worker | 1498 13th Street Bldg 184, San Diego, CA 98132 | 2020-08-24 |
| 1407467392 | Tyler Drew Willis | Social Worker | 4665 Voltaire St, San Diego, CA 92107-1762 | 2020-08-13 |
| 1174132575 | Sarah Greenstein | Social Worker | 11860 Carmel Creek Rd, San Diego, CA 92130-2474 | 2020-07-31 |
| 1730798190 | Joelle G Johnson | Social Worker | 4904 Mansfield St, San Diego, CA 92116-1936 | 2020-07-30 |
| 1881203503 | Micheaela Whaley | Social Worker | 4417 30th St Ste 112, San Diego, CA 92116-4284 | 2020-07-28 |
| 1033737812 | Clara Loginov | Social Worker | 6727 Mohawk St, San Diego, CA 92115-1642 | 2020-07-08 |
| 1780208553 | Ai-nhat Ngo | Social Worker | 9360 Activity Rd Ste B, San Diego, CA 92126-4410 | 2020-06-07 |
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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.