DEMATRA ELLISON (NPI# 1609227271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609227271 |
| Entity Type | Individual |
| Full Name | DEMATRA ELLISON |
| Practice Address |
1305 Evans Ave San Francisco CA 94124-1705 |
| Mailing Address |
755 S Van Ness Ave San Francisco CA 94110-1908 |
| Practice Telephone | 4159207702 |
| Mailing Telephone | 4156424503 |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2016-06-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
1305 EVANS AVE |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94124-1705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629132626 | Jerome Johnson | Social Worker | 1305 Evans Ave, San Francisco, CA 94124-1705 | 2006-12-21 |
| 1174806616 | Bonnie Lynn Friedman | Social Worker | 1305 Evans Ave, San Francisco, CA 94124-1705 | 2011-09-21 |
| 1790084077 | Wesley Wong | Health Educator | 1305 Evans Ave, San Francisco, CA 94124-1705 | 2011-03-25 |
| 1609175231 | Leonora Oliver-williams | Community Health Worker | 1305 Evans Ave, San Francisco, CA 94124-1705 | 2011-03-22 |
| 1295067965 | Antoine Eugene Sawyer | Social Worker | 1305 Evans Ave, San Francisco, CA 94124-1705 | 2010-02-05 |
| 1568794238 | Starr Levetti Edmundson | Social Worker | 1305 Evans Ave, San Francisco, CA 94124-1705 | 2010-02-05 |
| 1962733394 | Charles Henry Perez | Social Worker | 1305 Evans Ave, San Francisco, CA 94124-1705 | 2010-01-25 |
| 1861723710 | Children's System of Care | Community/Behavioral Health | 1305 Evans Ave, San Francisco, CA 94124 | 2010-01-15 |
| 1629298682 | Sfcc Department of Public | Clinic/Center | 1305 Evans Ave, San Francisco, CA 94124-1705 | 2007-05-01 |
| 1235254814 | Jennifer Denise Hubbart | Counselor | 1305 Evans Ave, San Francisco, CA 94124-1705 | 2007-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922597525 | Valeria Elizabeth Diaz | Technician, Other | 1227 Revere Ave, San Francisco, CA 94124 | 2018-05-09 |
| 1164929915 | Derrick Tuckerson | Registered Nurse | 3801 3rd Street #5j93, Suite 200, San Fransisco, CA 94124 | 2018-04-09 |
| 1518469766 | Skycoast Mobility, LLC | Non-emergency Medical Transport (VAN) | 1485 Bayshore Blvd., Suite #320a, San Francisco, CA 94124 | 2018-03-04 |
| 1811419484 | Kayla Leininger | Counselor | 3801 3rd St., 400, San Francisco, CA 94124 | 2017-07-14 |
| 1508240953 | Suzanne Wen | Dentist | 1938 Donner Ave, San Francisco, CA 94124 | 2015-07-15 |
| 1518362201 | Southeast Health Clinic, Department of Public Health | Clinic/Center | 2401 Keith Ave, San Francisco, CA 94124 | 2014-10-24 |
| 1629489299 | Bayview Hunter Point Foundation | Community/Behavioral Health | 1075 Leconte Street, San Francisco, CA 94124 | 2014-05-16 |
| 1558797936 | Mickey Diner Stein | Student in an Organized Health Care Education/Training Program | 3801 Third Street, Suite 400, San Francisco, CA 94124 | 2013-09-18 |
| 1164797916 | Ronnie Muniz | Counselor | 5015 Third Street, San Francisco, CA 94124 | 2012-03-13 |
| 1265717144 | Marq'uis Amari-hakeem Reid | Counselor | 1625 Carroll Avenue, San Francisco, CA 94124 | 2011-10-11 |
| Find all providers in zip 94124 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457950073 | Thomas Lee Kim | Counselor | 788 8th Ave Apt 1, San Francisco, CA 94118-3790 | 2020-10-23 |
| 1124631304 | Juei-chen Chao | Counselor | 2211 Post St Fl 3, San Francisco, CA 94115-3464 | 2020-08-26 |
| 1669082293 | Lovewell A Marriage and Family Therapy Corp | Counselor | 45 Franklin St Ste 312, San Francisco, CA 94102-6047 | 2020-08-07 |
| 1205445392 | Yuh Jang Mei | Counselor | 4950 Fulton St Apt 301, San Francisco, CA 94121-3656 | 2020-07-24 |
| 1851911366 | Whil Concepts | Counselor | 1656 California St, San Francisco, CA 94109-4604 | 2020-04-24 |
| 1174157481 | Kasey Lyn Varga | Counselor | 1197 Valencia St Ste 6, San Francisco, CA 94110-3026 | 2020-02-25 |
| 1760020721 | Approach Therapy | Counselor | 2595 Mission St Ste 311, San Francisco, CA 94110-2574 | 2019-12-20 |
| 1306489067 | Sue Jennigs Hirsch | Counselor | 405 Clement Street Room 4, San Francisco, CA 94118 | 2019-10-24 |
| 1477101525 | Kantha Swaminathan | Counselor | 72a Bruce Ave, San Francisco, CA 94112-2322 | 2019-09-02 |
| 1821653593 | Expansive Therapy A Professional Clinical Counselor Corporation | Counselor | 582 Market St Ste 2002, San Francisco, CA 94104-5321 | 2019-05-07 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94124 |
Please comment or provide details below to improve the information on DEMATRA ELLISON.
| 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.