IN-HOME THERAPEUTIC SERVICES OF SLO (NPI# 1669773313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669773313 |
| Entity Type | Organization |
| Organization Name | IN-HOME THERAPEUTIC SERVICES OF SLO |
| Practice Address |
1788 Donna Ave Los Osos CA 93402-2014 |
| Mailing Address |
Po Box 6477 Los Osos CA 93412-6477 |
| Practice Telephone | 8054418843 |
| Practice Fax Number | 8055286401 |
| Mailing Telephone | 8054418843 |
| Mailing Fax Number | 8055286401 |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2010-11-23 |
| Authorized Official Name | ARTHUR WAYNE FREDERICK (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8054418843 |
| Authorized Official Credential | LCSW,ACSW,DCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | LCS10732 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1788 DONNA AVE |
| City | LOS OSOS |
| State | CA |
| Zip Code | 93402-2014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659890192 | Shawn Michael Bean | Chiropractor | 1806 Doris Ave, Los Osos, CA 93402 | 2017-09-15 |
| 1104260454 | Meghan Elizabeth Mckiernan | Family Medicine | 2238 Bayview Heights Dr Ste G, Los Osos, CA 93402 | 2013-04-17 |
| 1194014654 | Julie Ann Wade | Licensed Practical Nurse | 2033 Andre Avenue, Los Osos, CA 93402 | 2011-04-05 |
| 1962640078 | Andrew Benjamin Bonnett | Counselor | 1685 18th St., Los Osos, CA 93402 | 2009-01-27 |
| 1467634618 | Sattie Moyer Blanton | Marriage & Family Therapist | 2122 9th Street, Suite 110, Los Osos, CA 93402 | 2007-11-29 |
| 1538360649 | Russell Wayne Ball | Family Medicine | 2741 Houston Drive, Los Osos, CA 93402 | 2007-05-29 |
| 1356566145 | Kimberly Theresa Kavanagh | Acupuncturist | 566 Mitchell Drive, Los Osos, CA 93402 | 2007-04-16 |
| 1336266410 | Maxine Ellen Stein | Marriage & Family Therapist | 2055 D 9th Street, Los Osos, CA 93402 | 2007-03-23 |
| 1619000122 | Craig Gordon Loveridge | Dentist | 2238 Bay View Heights Dr, Los Osos, CA 93402 | 2007-03-13 |
| 1386737039 | Jill Marie Bates | Marriage & Family Therapist | 900 Los Osos Valley Road, Suite C, Los Osos, CA 93402 | 2006-10-02 |
| Find all providers in zip 93402 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780931261 | Arthur Wayne Frederick | Social Worker | 1800 Donna Ave, Los Osos, CA 93402-2508 | 2012-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071460 | Kimberly Ann Tahernia | Social Worker | 155 Wanish Pl, Palm Desert, CA 92260-7319 | 2020-10-22 |
| 1831798594 | Open Minds Sb LLC | Social Worker | 312 Lighthouse Rd, Santa Barbara, CA 93109-1908 | 2020-10-22 |
| 1619576790 | Larry George Hazaert | Social Worker | 9828 Central Avenue, Montclair, CA 91763-2817 | 2020-10-20 |
| 1396343703 | Catya Jeannette Molina | Social Worker | 2000 Hazeltine Dr, Oxnard, CA 93036-6308 | 2020-10-16 |
| 1467050831 | Michael J Samuelson | Social Worker | 23501 Cinema Dr Ste 200&210, Valencia, CA 91355-5428 | 2020-10-16 |
| 1245837004 | Tanya Renee Banks | Social Worker | 2280 Benton Dr # C, Redding, CA 96003-5349 | 2020-10-05 |
| 1669089868 | Kimberly J Hansen Anderson | Social Worker | 12071 Tivoli Park Row Unit 2, San Diego, CA 92128-4385 | 2020-09-30 |
| 1558978338 | Emily J White | Social Worker | 1225 Vienna Dr Spc 292, Sunnyvale, CA 94089-1833 | 2020-09-25 |
| 1255947958 | Diep Le | Social Worker | 991 39th St Apt B, Oakland, CA 94608-3899 | 2020-09-17 |
| 1790399061 | Miyu Rosie Tanabe | Social Worker | 2730 Torrey Pine Dr, Fullerton, CA 92835-2848 | 2020-09-03 |
| Find all providers with the same taxonomy | ||||
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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.