REBECCA VAN WAGENEN BERMUDEZ (NPI# 1568812378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568812378 |
| Entity Type | Individual |
| Full Name | REBECCA VAN WAGENEN BERMUDEZ |
| Credential | LCSW |
| Practice Address |
7565 E Eagle Crest Dr Suite 201 Top Floor Mesa AZ 85207-1041 |
| Practice Telephone | 4807885069 |
| Mailing Telephone | 4807885069 |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2016-06-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
12320 | AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689732224 | Rebecca Lynne Bermudez | Social Worker | 128 Grant Ave Ste 221, Santa Fe, NM 87501-2031 | 2006-12-05 |
| 1962680918 | Rebecca Mercedes Bermudez | Registered Nurse | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2008-02-01 |
| Street Address |
7565 E EAGLE CREST DR SUITE 201 TOP FLOOR |
| City | MESA |
| State | AZ |
| Zip Code | 85207-1041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790241743 | Sharin Lane | Physical Therapist | Spooner North Mesa, PC, 6824 E Brown Rd # 102, Mesa, AZ 85207 | 2019-02-14 |
| 1154898435 | Phoenix Physician Group, LLC | Emergency Medicine | 3430 N. Mountain Ridge, Unit 14, Mesa, AZ 85207 | 2018-10-25 |
| 1467970939 | Kerry Mae Kenley | Specialist/Technologist | 7556 E. Laurel St, Mesa, AZ 85207 | 2017-09-05 |
| 1053709287 | Barbara Bowen | Speech-Language Pathologist | 8433 E. Leland St., Mesa, AZ 85207 | 2014-12-22 |
| 1043561046 | Joseph Allen Kempton | Physical Therapist | 844 N. Ellsworth Rd, Mesa, AZ 85207 | 2012-10-01 |
| 1629327556 | Odyssey Services Corp. | Community/Behavioral Health | 8947 East Quill Street, Mesa, AZ 85207 | 2012-09-06 |
| 1962729160 | Chao Li | Dermatology | 6832 E Brown Rd, Mesa, AZ 85207 | 2010-04-27 |
| 1366670929 | Trevor Lee Caffall | Dentist | 6812 E. Brown Rd., Ste 102, Mesa, AZ 85207 | 2009-06-22 |
| 1396928073 | Dht Hand Therapy Limited Partnership | Occupational Therapist | 7165 E University Dr Ste 143, Mesa, AZ 85207 | 2007-12-17 |
| 1184794075 | Karen L Thomas Pllc | Nurse Practitioner | 3902 N. Stone Gully Cricle, Mesa, AZ 85207 | 2006-11-08 |
| Find all providers in zip 85207 | ||||
| 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 |
|---|---|---|---|---|
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1972142511 | Sonoran Sunrise Counseling, LLC | Social Worker | 6239 E Brown Rd Ste 112, Mesa, AZ 85205-4933 | 2019-12-30 |
| 1982248860 | Jennifer Franco-rodriguez | Social Worker | 1914 E Downing St, Mesa, AZ 85203-6627 | 2019-11-04 |
| 1659913655 | Kimberly Portugal | Social Worker | 10313 E Thornton Ave, Mesa, AZ 85212-8355 | 2019-10-10 |
| 1194374819 | Luminations Healing Center, LLC | Social Worker | 1237 S. Val Vista Dr. #221, Mesa, AZ 85204 | 2019-09-05 |
| 1144788563 | Ariel Koch | Social Worker | 11217 E Persimmon Ave, Mesa, AZ 85212-1905 | 2019-03-05 |
| 1609374529 | Gene R Lullo | Social Worker | 1830 S Alma School Rd Suite 101, Mesa, AZ 85210 | 2018-01-25 |
| 1265976625 | Susan M Macintyre | Social Worker | 739 W Portobello Ave, Mesa, AZ 85210-8345 | 2016-12-05 |
| 1891156121 | The Lotus Counseling Center LLC | Social Worker | 2222 S Dobson Rd Ste 300, Mesa, AZ 85202-6490 | 2016-03-14 |
| 1942611298 | Kimberly Washington | Social Worker | 1050 W 8th Ave, Apt. 114, Mesa, AZ 85210-3471 | 2014-05-08 |
| Find all providers in MESA | ||||
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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.