ANNA VAISMAN ENNIS (NPI# 1538360169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538360169 |
| Entity Type | Individual |
| Full Name | ANNA VAISMAN ENNIS |
| Credential | LCSW |
| Practice Address |
4930 Naples St 1st Floor San Diego CA 92110-3820 |
| Practice Telephone | 6192761176 |
| Practice Fax Number | 6192761553 |
| Mailing Telephone | 6192761176 |
| Mailing Fax Number | 6192761553 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2016-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
71559 | CA | Behavioral Health & Social Service Providers |
| Street Address |
4930 NAPLES ST 1ST FLOOR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92110-3820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758786 | Madison Underhill | Case Manager/Care Coordinator | 4930 Naples St, San Diego, CA 92110-3820 | 2020-10-19 |
| 1942807581 | Jeanette Delos Reyes Rosete-okamoto | Licensed Vocational Nurse | 4930 Naples St, San Diego, CA 92110-3820 | 2020-10-07 |
| 1679185664 | Gabriella Melissa Ledezma | Case Manager/Care Coordinator | 4930 Naples St, San Diego, CA 92110-3820 | 2020-08-20 |
| 1790394542 | Athena Mariana Tan Cipriano | Student in an Organized Health Care Education/Training Program | 4930 Naples St, San Diego, CA 92110-3820 | 2020-07-28 |
| 1326663253 | Katya Alexandra Davila | Case Manager/Care Coordinator | 4930 Naples St, San Diego, CA 92110-3820 | 2020-06-16 |
| 1508486689 | Brandon Harris | Peer Specialist | 4930 Naples St, San Diego, CA 92110-3820 | 2020-04-20 |
| 1669091401 | Nathalia C Hernandez | Case Manager/Care Coordinator | 4930 Naples St, San Diego, CA 92110-3820 | 2020-04-12 |
| 1134748957 | Kelly Garcia | Case Manager/Care Coordinator | 4930 Naples St, San Diego, CA 92110-3820 | 2020-04-11 |
| 1396373080 | Damaris Lugo Michel | Case Manager/Care Coordinator | 4930 Naples St, San Diego, CA 92110-3820 | 2020-03-30 |
| 1013541689 | Jessica Katelyn Hasselbar | Case Manager/Care Coordinator | 4930 Naples St, San Diego, CA 92110-3820 | 2020-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669021713 | Ruben Daniel Gutierrez | Marriage & Family Therapist | 4141 Pacific Coast Hwy, San Diego, CA 92110 | 2019-09-10 |
| 1548724081 | Denise Ellen Thompson | Counselor | 3255 Wings Street, San Diego, CA 92110 | 2019-01-29 |
| 1801378716 | Michelle Lisa Jean Crawford | Student in an Organized Health Care Education/Training Program | 3767 Central Avenue, San Diego, CA 92110 | 2018-09-06 |
| 1427539048 | Allison Turrell | Case Manager/Care Coordinator | 4930 Naples Street, San Diego, CA 92110 | 2018-08-22 |
| 1750872768 | Matthew Langworthy | Physical Therapist | 3405 Kenyon St Ste 212, San Diego, CA 92110 | 2018-05-24 |
| 1245748342 | The One Health Boutique, LLC | Chiropractor | 5350 Riley St, San Diego, CA 92110 | 2018-01-11 |
| 1437670155 | Monique A Fernandez | Counselor | 3132 Jefferson Street, San Diego, CA 92110 | 2017-07-03 |
| 1538510391 | Mayu Winters | Registered Nurse | 853 Rosecrans St, San Diego, CA 92110 | 2016-06-23 |
| 1376998864 | Briniti Ichull | Specialist | 3941 Kurtz St, San Diego, CA 92110 | 2016-05-03 |
| 1912352576 | Healthcare Services, Inc. | Substance Abuse Rehabilitation Facility | 3880 Rosecrans Street, San Diego, CA 92110 | 2016-05-02 |
| Find all providers in zip 92110 | ||||
| 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.