SUSANA ANGELICA MILLAN (NPI# 1649785247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649785247 |
| Entity Type | Individual |
| Full Name | SUSANA ANGELICA MILLAN |
| Practice Address |
4125 Bangs Ave Modesto CA 95356-8713 |
| Practice Telephone | 2095572363 |
| Mailing Telephone | 2095572363 |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2017-12-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
74496 | CA | Behavioral Health & Social Service Providers |
| Street Address |
4125 BANGS AVE |
| City | MODESTO |
| State | CA |
| Zip Code | 95356-8713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770570814 | Thomas Lathrop Hall | Dermatology | 4125 Bangs Ave, Modesto, CA 95356-8713 | 2005-10-04 |
| 1568945319 | Ana Luisa Callender | Counselor | 4125 Bangs Ave, Modesto, CA 95356-8713 | 2018-09-07 |
| 1821584137 | Erin Mary Gaab Arsala | Psychologist | 4125 Bangs Ave, Modesto, CA 95356-8713 | 2018-07-10 |
| 1538468285 | Alma Pastrano | Social Worker | 4125 Bangs Ave, Modesto, CA 95356-8713 | 2011-03-21 |
| 1235364258 | Mary Jessie Sumithra | Pediatrics | 4125 Bangs Ave, Modesto, CA 95356-8713 | 2009-05-19 |
| 1982850038 | Nicole Akemi Tamanaha | Pediatrics | 4125 Bangs Ave, Modesto, CA 95356-8713 | 2008-08-08 |
| 1871767335 | Geun Dong Lee | Pediatrics | 4125 Bangs Ave, Modesto, CA 95356-8713 | 2008-04-16 |
| 1760601769 | Leena M Sumitra | Psychiatry & Neurology | 4125 Bangs Ave, Modesto, CA 95356-8713 | 2007-04-25 |
| 1063635001 | Lisa Teixeira | Social Worker | 4125 Bangs Ave, Modesto, CA 95356-8713 | 2007-04-10 |
| 1689728263 | Kathleen Marion Goodrich | Social Worker | 4125 Bangs Ave, Modesto, CA 95356-8713 | 2007-01-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649809021 | Amelia E Delgadillo | Licensed Vocational Nurse | 501 Triangle Rd, Modesto, CA 95356 | 2020-04-07 |
| 1689220279 | Meagan Veneman | Physical Medicine & Rehabilitation | 125 Hogue Rd, Modesto, CA 95356 | 2019-08-10 |
| 1497131213 | Hermes Guardian Transport | Non-emergency Medical Transport (VAN) | 4221 Erin Way, Modesto, CA 95356 | 2015-08-04 |
| 1811373640 | Melissa Ruiz | Marriage & Family Therapist | 5815 Stoddard Rd Suite 600, Modesto, CA 95356 | 2015-08-04 |
| 1922242866 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 500 Glass Ln Ste H, Modesto, CA 95356 | 2009-04-22 |
| 1659541647 | Ashley Allison Streeter | Dentist | 556 Lyell Dr, Modesto, CA 95356 | 2008-03-05 |
| 1265636013 | Margaret Kathleen Grisell | Orthopaedic Surgery | 4601 Dale Ave, Kaiser Modesto Medical Center, Orthopedic Surgery, Modesto, CA 95356 | 2007-06-14 |
| 1841412111 | Bobby Gene Boswell | Specialist/Technologist | 3908 Vintage Cove, Modesto, CA 95356 | 2007-05-03 |
| 1598892861 | Merritt Radiological Medical Group Inc | Radiology | 526 Charity Way, Modesto, CA 95356 | 2007-02-27 |
| 1396871091 | Michael Steven Beck | Social Worker | 4640 Spyres Way, Building B, Suite 7, Modesto, CA 95356 | 2007-02-26 |
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| 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 |
|---|---|---|---|---|
| 1801379672 | Myriam Cubillo | Social Worker | 2921 Winged Foot Ct, Modesto, CA 95355-9737 | 2018-09-07 |
| 1013387844 | Diana Faith Kigenyi | Social Worker | 1225 Oakdale Road, Modesto, CA 95355 | 2015-10-06 |
| 1518205236 | Veronica Renee Tovar | Social Worker | 803 Coffee Rd Ste 10, Modesto, CA 95355-4244 | 2013-01-31 |
| 1649538869 | Maria Guadalupe Rameno | Social Worker | 1604 Ford Ave Ste 2b, Modesto, CA 95350-4649 | 2012-04-25 |
| 1952674947 | Kimberly Wright | Social Worker | 1832 Encina Ave, Modesto, CA 95354-1502 | 2012-02-22 |
| 1083921977 | Michelle Riley | Social Worker | 3340 Tully Rd Ste D4, Modesto, CA 95350 | 2010-09-13 |
| 1124345616 | Jason Lee Paul Wayrynen | Social Worker | 1219 N Carpenter Rd Ste 12, Modesto, CA 95351 | 2010-04-23 |
| 1952626392 | Jennifer Ellen Cooper | Social Worker | 800 Coffee Rd, Modesto, CA 95355-4233 | 2010-03-29 |
| 1063643930 | Jennifer Lee Johnson | Social Worker | 1321 I St Ste 3, Modesto, CA 95354-0902 | 2009-07-27 |
| 1639308547 | Dolores R Covarrubias | Social Worker | 1320 Standiford Ave Ste B, Modesto, CA 95350-0726 | 2009-07-13 |
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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.