KIMBERLY PORTUGAL (NPI# 1659913655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659913655 |
| Entity Type | Individual |
| Full Name | KIMBERLY PORTUGAL |
| Credential | LCSW, MPH |
| Practice Address |
10313 E Thornton Ave Mesa AZ 85212-8355 |
| Practice Telephone | 9492911868 |
| Practice Fax Number | 3108185592 |
| Mailing Telephone | 9492911868 |
| Mailing Fax Number | 3108185592 |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2020-10-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
19692 | CA | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW18454 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
10313 E THORNTON AVE |
| City | MESA |
| State | AZ |
| Zip Code | 85212-8355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610302 | West Point Optical Group | Optometrist | 10706 E Point Twenty-two Blvd, #107, Mesa, AZ 85212 | 2020-08-18 |
| 1215553565 | Andrew Eugene Pak | Dentist | 10664 East Point Twenty-two Blvd, Mesa, AZ 85212 | 2020-06-23 |
| 1588200265 | Signal Butte Kids Dentistry and Orthodontics, LLP | Dentist | 10664 E. Point Twenty Two Blvd, Mesa, AZ 85212 | 2019-11-18 |
| 1194371526 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 4316 S Signal Butte Rd, Mesa, AZ 85212 | 2019-08-12 |
| 1194200980 | Highbury Dental Management, LLC | Dentist | 4425 S Mountain Rd, Suite 109, Mesa, AZ 85212 | 2018-09-27 |
| 1033623541 | Latanya Olivia Edenburgs | Case Manager/Care Coordinator | 10436 E Radiant Ave., Mesa, AZ 85212 | 2017-11-20 |
| 1205355880 | Linda Okafor | Nurse Practitioner | 4719 S Calderon Circle, Mesa, AZ 85212 | 2017-09-14 |
| 1689121188 | Agh Mesa LLC | General Acute Care Hospital | 9130 East Elliot Road, Mesa, AZ 85212 | 2016-09-01 |
| 1861841918 | Ryan Blake | Dentist | 4425 S. Mountain Road, Ste 109, Mesa, AZ 85212 | 2016-06-09 |
| 1083089460 | White Glove Health | Nurse Practitioner | 2906 S Lynch Cr, Mesa, AZ 85212 | 2015-12-10 |
| Find all providers in zip 85212 | ||||
| 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 |
| 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 |
| 1568812378 | Rebecca Van Wagenen Bermudez | Social Worker | 7565 E Eagle Crest Dr, Suite 201 Top Floor, Mesa, AZ 85207-1041 | 2016-06-13 |
| 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.