MARY J STAVN (NPI# 1639296601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639296601 |
| Entity Type | Individual |
| Full Name | MARY J STAVN |
| Practice Address |
2415 University Ave East Palo Alto CA 94303-1164 |
| Practice Telephone | 6503634030 |
| Practice Fax Number | 6503286834 |
| Mailing Telephone | 6503634030 |
| Mailing Fax Number | 6503286834 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2011-12-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | ASW17637 | CA | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCS 26145 | CA | Behavioral Health & Social Service Providers |
| Street Address |
2415 UNIVERSITY AVE |
| City | EAST PALO ALTO |
| State | CA |
| Zip Code | 94303-1164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053329144 | Alyse Gabriel | Psychiatry & Neurology | 2415 University Ave, 3rd Floor, East Palo Alto, CA 94303-1164 | 2006-08-04 |
| 1659620888 | Dana Hartman | Counselor | 2415 University Ave, 3rd Floor, East Palo Alto, CA 94303-1164 | 2012-09-04 |
| 1154610061 | Ifeyinwa Asiodu | Case Manager/Care Coordinator | 2415 University Ave, 2nd Floor, East Palo Alto, CA 94303-1164 | 2011-03-31 |
| 1518271048 | Sisilia Fifita | Counselor | 2415 University Ave, East Palo Alto, CA 94303-1164 | 2010-07-26 |
| 1255656674 | Anna N Tran | Nurse Practitioner | 2415 University Ave, Third Floor, East Palo Alto, CA 94303-1164 | 2010-03-29 |
| 1760606743 | Claudia Tinoco | Marriage & Family Therapist | 2415 University Ave, East Palo Alto, CA 94303-1164 | 2007-04-12 |
| 1184744229 | Erma J. Prothro | Marriage & Family Therapist | 2415 University Ave, Suite 30, East Palo Alto, CA 94303-1164 | 2007-03-30 |
| 1134244247 | Renee Hazel Harris | Counselor | 2415 University Ave, Suite 30, East Palo Alto, CA 94303-1164 | 2007-03-20 |
| 1871617266 | Linda Gunn | Counselor | 2415 University Ave, Suite 30, East Palo Alto, CA 94303-1164 | 2007-03-19 |
| 1144300690 | Jedediah Muir Hooper | Psychiatry & Neurology | 2415 University Ave, East Palo Alto Community Counselling - 3rd Floor, East Palo Alto, CA 94303-1164 | 2006-10-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548877590 | Sleep Apnea Surgery Center Inc. | Otolaryngology | 1900 University Avenue, East Palo Alto, CA 94303 | 2020-09-24 |
| 1528514759 | Healthright360 | Community/Behavioral Health | 2396 University Avenue, East Palo Alto, CA 94303 | 2016-08-28 |
| 1932652013 | Tala Sailele | Counselor | 2560 Pulgas Ave., East Palo Alto, CA 94303 | 2016-07-26 |
| 1952784308 | Lakshmi Leishangthem | Psychiatry & Neurology | Byers Eye Institute Stanford Health Care 2452 Watson Ct, 2452 Watson Court, Palo Alto, CA 94303 | 2015-07-02 |
| 1083041636 | Malaika House | Substance Abuse Rehabilitation Facility | 819 & 823 Jamie Lane, East Palo Alto, CA 94303 | 2013-09-27 |
| 1184913246 | Naeem Hashmi Medical Corporation | Internal Medicine | 957 Colonial Lane, Palo Alto, CA 94303 | 2011-03-29 |
| 1346550902 | Elizabeth A. Herb, M.d., A Professional Corporation | Clinic/Center | 851 Southampton Dr., Palo Alto, CA 94303 | 2010-10-18 |
| 1083878367 | Achievekids | Health Maintenance Organization | 3860 Middlefield Road, Achievekids, Palo Alto, CA 94303 | 2008-07-15 |
| 1528192895 | Susann Elizabeth Amborn | Psychologist | 1020 Corporation Way, Suite 201, Palo Alto, CA 94303 | 2007-03-16 |
| 1356409882 | Steven Richard Sanislo | Ophthalmology | 2452 Watson Court, Palo Alto, CA 94303 | 2006-12-05 |
| Find all providers in zip 94303 | ||||
| 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 |
|---|---|---|---|---|
| 1124513296 | Benjamin Wood | Social Worker | 2560 Pulgas Ave, East Palo Alto, CA 94303-1323 | 2018-06-29 |
| 1609252014 | Renee Reyes | Social Worker | 2560 Pulgas Ave, East Palo Alto, CA 94303-1323 | 2015-08-07 |
| 1750413118 | Vanessa Alexandra Scarlata | Social Worker | 1798a Bay Road, East Palo Alto, CA 94303-5312 | 2007-03-12 |
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|---|---|---|---|---|
| 1881295244 | Keith Aaron Rivera | Social Worker | 605 Sundahl Dr, Folsom, CA 95630-6353 | 2020-11-03 |
| 1043811482 | Ofelia Stephanie Gonzalez | Social Worker | 252 San Jose St. Upstairs Suite, Salinas, CA 93901 | 2020-11-03 |
| 1780284356 | Tyler Young | Social Worker | 73140 Guadalupe Ave, Palm Desert, CA 92260-2858 | 2020-10-31 |
| 1588264220 | Danielle Segal | Social Worker | 10085 Nicolas Dr Unit B, Truckee, CA 96161-1871 | 2020-10-30 |
| 1598365389 | Camila Alaasam | Social Worker | 2145 Myrtle Ave # 3323, Eureka, CA 95501-3323 | 2020-10-29 |
| 1720688906 | Jennifer L Salcido | Social Worker | 2292 Celeste Ave, Clovis, CA 93611-6253 | 2020-10-28 |
| 1730788217 | Tara Christine Stafford | Social Worker | 30 Carlyle Ct, Danville, CA 94506-6147 | 2020-10-26 |
| 1730788282 | Fatima Billoo | Social Worker | 18928 Lassen St, Northridge, CA 91324-1835 | 2020-10-25 |
| 1306445903 | Enerje Wellness Licenced Clinical Social Worker | Social Worker | 7121 Magnolia Ave Ste O, Riverside, CA 92504-3805 | 2020-10-23 |
| 1972102671 | Kimberly Sherman | Social Worker | 1110 Ranleigh Way, Piedmont, CA 94610-1135 | 2020-10-22 |
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| City | EAST PALO ALTO |
| Zip Code | 94303 |
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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.