RAVEN WHITE


Address: 572 N Arrowhead Ave, San Bernardino, CA 92401-1251
Phone: 9097545872

RAVEN WHITE (NPI# 1649623919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649623919
Entity Type Individual
Full Name RAVEN WHITE
Other Name RAVEN GARDNER
Credential MSW
Practice Address 572 N Arrowhead Ave
San Bernardino
CA 92401-1251
Practice Telephone 9097545872
Mailing Telephone 9517545872
Enumeration Date 2016-07-21
Last Update Date 2020-01-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
72356 CA Behavioral Health & Social Service Providers

Other Providers RAVEN WHITE

NPI Name Taxonomy Address Enumeration
1033601620 Raven White Behavior Technician 1100 Red Banks Rd, Greenville, NC 27858-5205 2018-05-31

Office Location

Street Address 572 N ARROWHEAD AVE
City SAN BERNARDINO
State CA
Zip Code 92401-1251

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396870556 Kenneth Lillard Counselor 572 N Arrowhead Ave, San Bernardino, CA 92401-1251 2007-02-21
1316545965 Rachel Jeanette Lomeli Case Manager/Care Coordinator 572 N Arrowhead Ave, San Bernardino, CA 92401-1251 2020-10-15
1033722434 Marjorie Fabiola Rendon Student in an Organized Health Care Education/Training Program 572 N Arrowhead Ave, San Bernardino, CA 92401-1251 2020-08-25
1093336356 Adrienne Denise Green Community Health Worker 572 N Arrowhead Ave, San Bernardino, CA 92401-1251 2020-04-28
1245861483 Matthew Duncan Case Manager/Care Coordinator 572 N Arrowhead Ave, San Bernardino, CA 92401-1251 2020-01-27
1629608229 Anthony Manuel Paez Counselor 572 N Arrowhead Ave, San Bernardino, CA 92401-1251 2020-01-22
1275163917 Dyanna Llamas Case Manager/Care Coordinator 572 N Arrowhead Ave, San Bernardino, CA 92401-1251 2020-01-22
1821635053 Eternity Mimiko Veney Case Manager/Care Coordinator 572 N Arrowhead Ave, San Bernardino, CA 92401-1251 2019-12-06
1174160436 Juan Jose Miranda Case Manager/Care Coordinator 572 N Arrowhead Ave, San Bernardino, CA 92401-1251 2019-12-05
1417503525 Yessica Iturbide Counselor 572 N Arrowhead Ave, San Bernardino, CA 92401-1251 2019-08-14
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649885468 Eagles Wings Hospice, LLC Hospice Care, Community Based 255 N. D Street, Suite 200-xix, San Bernardino, CA 92401 2020-09-09
1457831398 Omar Torres Case Manager/Care Coordinator 574 N Arrowhead Ave., San Bernardino, CA 92401 2018-08-20
1104354539 Llesenia Aleman Case Manager/Care Coordinator 597 North Arrowhead Ave, San Bernardino, CA 92401 2017-05-30
1669916193 Yvonne Castro Marriage & Family Therapist 572 N. Arrowhead Ave., Suite 200, San Bernardino, CA 92401 2016-12-19
1811342132 Maria Teresa Rodriguez Cortes Counselor 572 N. Arrowhead Ave. Suite 100, San Bernardino, CA 92401 2016-04-25
1841603339 Kelly Michelle Cottingham Licensed Practical Nurse 350 W. Fifth Street, Suite 212, San Bernardino, CA 92401 2014-06-03
1558781245 Desiree Inez Harris Counselor 572 N Arrowhead Ave #200, San Bernardino, CALIFORNIA 92401 2014-04-21
1194159970 Sabrina Shrita Thakur Marriage & Family Therapist 572 N Arrowhead, San Bernardino, CA 92401 2013-08-28
1770845497 Youths' Hope Licensed Clinical Social Worker Inc Counselor 255 N. D Street, Suite 400, San Bernardino, CA 92401 2012-06-08
1235461427 Erin Nicole Stines Recreation Therapist 572 N. Arrowhead Ave. Suite 200, San Bernardino, CA 92401 2010-02-12
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700343183 Phillip Loving Counselor 5500 University Pkwy # Ce-120, San Bernardino, CA 92407-2318 2019-02-21
1285108555 Sl Hobson Enterprises LLC Counselor 445 S Arrowhead Ave Ste C, San Bernardino, CA 92408-1335 2019-01-19
1730660069 Kate E Salami Counselor 255 N D St Ste 400, San Bernardino, CA 92401-1715 2018-08-24
1659875904 Ezekiel Moseley Counselor 225 W Hospitality Ln Ste 201d, San Bernardino, CA 92408-3245 2018-03-21
1336647494 Paul J Iorio Counselor 1669 Norht E Street, San Bernardino, CA 92405 2018-01-24
1396262119 Katherine Ingram Counselor 1905 Business Center Dr Unit 100, San Bernardino, CA 92408-3460 2017-08-23
1245760909 Leslie E Brooks Jr. Counselor 325 W. Hospitality Ln. Ste 103, San Bernardino, CA 92408 2017-06-15
1417486788 Juanita Marisol Barrientos Counselor 1908 Business Center Dr., San Bernardino, CA 92408 2017-06-08
1245768480 Erika Sethi Counselor 900 E. Gilbert St, Cottage 4, San Bernardino, CA 92408-3258 2017-06-01
1699210591 Stacey Ramirez Counselor 244 S D St, San Bernardino, CA 92401-2004 2016-12-30
Find all providers in SAN BERNARDINO

Competitor

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City SAN BERNARDINO
Zip Code 92401

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Dataset Information

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.

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