TRACY MARIE VEGA (NPI# 1508325234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508325234 |
| Entity Type | Individual |
| Full Name | TRACY MARIE VEGA |
| Credential | LCSW |
| Practice Address |
3230 Kerner Blvd San Rafael CA 94901-4840 |
| Practice Telephone | 4154732611 |
| Practice Fax Number | 4154733080 |
| Mailing Telephone | 4154732611 |
| Mailing Fax Number | 4154733080 |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2019-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
ASW76850 | CA | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
92354 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164759908 | Tracy Vega | Occupational Therapist | 22962 Sw 107th Ave, Miami, FL 33170 | 2009-11-16 |
| Street Address |
3230 KERNER BLVD |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94901-4840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306867403 | Marisol Munoz-kiehne | Psychologist | 3230 Kerner Blvd, San Rafael, CA 94901-4840 | 2006-07-22 |
| 1659935161 | Percy Scott | Rehabilitation Practitioner | 3230 Kerner Blvd, San Rafael, CA 94901 | 2019-04-30 |
| 1003393422 | Elizabeth Magid | Counselor | 3230 Kerner Blvd, San Rafael, CA 94901-4840 | 2018-07-27 |
| 1285111062 | Cheryllynn Mena | Counselor | 3230 Kerner Blvd, San Rafael, CA 94901 | 2018-07-24 |
| 1215421722 | Sinead Aguilar Miramontes | Counselor | 3230 Kerner Blvd, San Rafael, CA 94901-4840 | 2018-06-18 |
| 1447748249 | Mary Anne Mcdonough | Counselor | 3230 Kerner Blvd, San Rafael, CA 94901-4840 | 2018-04-26 |
| 1568966448 | Zeyda Aracely Garcia | Counselor | 3230 Kerner Blvd, San Rafael, CA 94901-4840 | 2018-03-23 |
| 1558819193 | Felipe Barba | Student in an Organized Health Care Education/Training Program | 3230 Kerner Blvd, San Rafael, CA 94901-4840 | 2016-09-12 |
| 1881065332 | County of Marin | Clinic/Center | 3230 Kerner Blvd, San Rafael, CA 94901-4840 | 2015-10-09 |
| 1568831196 | Karen Josephine Sarria | Counselor | 3230 Kerner Blvd, San Rafael, CA 94901-4840 | 2015-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780207134 | Marianne Haissman Stefancic | Marriage & Family Therapist | 409 Forbes Ave., San Rafael, CA 94901 | 2020-05-20 |
| 1093292765 | Marin Community Clinic | Clinic/Center | 411 4th Strteet, Suite A, San Rafael, CA 94901 | 2018-07-25 |
| 1275052516 | Laura Ellen Silverstein | Marriage & Family Therapist | 600 Fifth Avenue, San Rafael, CA 94901 | 2017-09-19 |
| 1689101107 | Marin Family Recovery | Clinic/Center | 1209 Third St. Ste 4, San Rafael, CA 94901 | 2017-05-15 |
| 1376070011 | Tencia Beavers-sanchez | Counselor | 710 C Street Suite#8, Marin Outpatient&recoveryservices, Sanrafael, CA 94901 | 2017-05-12 |
| 1326584905 | Jamie Waterman | Emergency Medical Technician, Basic | 675 Sir Francis Drake Blvd, Kentfield, CA 94901 | 2017-01-06 |
| 1295270676 | Stephen Marks | Counselor | 900 Fifth Avenue, Suite 150, ; San Rafael, CA 94901 | 2016-12-21 |
| 1497299812 | Vesna Sturman | Psychologist | 712 D St Ste L, San Rafael, CA 94901 | 2016-12-05 |
| 1063955771 | Carol Dutton Hollenberg | Behavior Technician | 503 D St., San Rafael, CA 94901 | 2016-11-29 |
| 1083069447 | Bay Area Community Resources | Community/Behavioral Health | 103 Shoreline Parkway, San Rafael, CA 94901 | 2016-05-04 |
| Find all providers in zip 94901 | ||||
| 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 |
|---|---|---|---|---|
| 1740765106 | Judith Shaffer | Social Worker | 108 Maywood Way, San Rafael, CA 94901-1132 | 2018-10-01 |
| 1932627056 | Jessica Aldrich Strassman | Social Worker | 822 D St # 8, San Rafael, CA 94901-2814 | 2017-09-08 |
| 1316355654 | Loretta Dannean Farris | Social Worker | 1821 5th Ave Apt B320, San Rafael, CA 94901-1788 | 2014-07-31 |
| 1114361318 | Arley Lindberg | Social Worker | 1206 3rd St Ste 6, San Rafael, CA 94901-3048 | 2013-04-18 |
| 1720337017 | Barbara J Sylvester | Social Worker | 601 N San Pedro Rd, San Rafael, CA 94903-3038 | 2012-09-03 |
| 1982968715 | Marianne Gontarz York | Social Worker | 8 Diego Dr, San Rafael, CA 94903-2314 | 2012-06-26 |
| 1942510037 | Aneissa Marie Rosas-sanchez | Social Worker | 92 Louise St, San Rafael, CA 94901-4760 | 2010-10-07 |
| 1992018436 | Lynn Christine Ervin | Social Worker | 700 E St Ste 102, San Rafael, CA 94901 | 2010-07-26 |
| 1134352099 | Claudia Benitez | Social Worker | 361 3rd St Ste G, San Rafael, CA 94901-3580 | 2009-08-26 |
| 1811137284 | Deborah Marie Levin | Social Worker | 252 Devon Dr, San Rafael, CA 94903-3756 | 2009-02-25 |
| Find all providers in SAN RAFAEL | ||||
| City | SAN RAFAEL |
| Zip Code | 94901 |
Please comment or provide details below to improve the information on TRACY MARIE VEGA.
| 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.