GILDA VANESSA CORREA (NPI# 1669824140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669824140 |
| Entity Type | Individual |
| Full Name | GILDA VANESSA CORREA |
| Credential | LCSW |
| Practice Address |
710 E 111th Pl Los Angeles CA 90059-1518 |
| Mailing Address |
4211 Avalon Blvd Los Angeles CA 90011-5622 |
| Practice Telephone | 3232330425 |
| Practice Fax Number | 3232322366 |
| Mailing Telephone | 3232330425 |
| Mailing Fax Number | 3232322366 |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2019-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | 71424 | CA | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
88819 | CA | Behavioral Health & Social Service Providers |
| Street Address |
710 E 111TH PL |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90059-1518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134336811 | Kedren Community Mental Health Center | Clinic/Center | 710 E 111th Pl, Los Angeles, CA 90059-1518 | 2007-05-16 |
| 1942833926 | Sharon Smith | Social Worker | 710 E 111th Pl, Los Angeles, CA 90059-1518 | 2020-02-18 |
| 1417594193 | Laura Garcia | Social Worker | 710 E 111th Pl, Los Angeles, CA 90059-1518 | 2019-12-02 |
| 1245891563 | Emylie Ellis | Social Worker | 710 E 111th Pl, Los Angeles, CA 90059 | 2019-06-26 |
| 1558829010 | Citlalli Gonzalez | Case Manager/Care Coordinator | 710 E 111th Pl, Los Angeles, CA 90059-1518 | 2019-03-04 |
| 1679045538 | Francisco Garcia | Case Manager/Care Coordinator | 710 E 111th Pl, Los Angeles, CA 90059-1518 | 2018-12-17 |
| 1750859658 | Julia Kravitz | Social Worker | 710 E 111th Pl, Los Angeles, CA 90059-1518 | 2018-11-08 |
| 1033694237 | Skylar Valles | Social Worker | 710 E 111th Pl, Los Angeles, CA 90059-1518 | 2018-10-03 |
| 1114402641 | Guadalupe Macias-vargas | Case Manager/Care Coordinator | 710 E 111th Pl, Los Angeles, CA 90059-1518 | 2018-10-01 |
| 1881170421 | Jessica Guerrero | Social Worker | 710 E 111th Pl, Los Angeles, CA 90059-1518 | 2018-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235759788 | Juan Jimenez Jr. | Technician, Pathology | 1860 E 120th St, Los Angeles, CA 90059 | 2020-04-24 |
| 1538717780 | Donald O Nwanze | Pharmacist | Mlk Outpatient Center (pharmacy), 1670 East 120th Street, Los Angeles, CA 90059 | 2019-08-30 |
| 1295391050 | Sheela Hoyle | Counselor | 836 East Saucer Lane, Los Angeles, CA 90059 | 2019-05-16 |
| 1750852471 | Carlos Tovar Sr. | Community Health Worker | 1720 E 120st, Los Angeles, CA 90059 | 2018-12-06 |
| 1699293910 | Amy Caryn Bolenbaugh | Recreation Therapist | 1720 E 120th Street, Los Angeles, CA 90059 | 2017-09-07 |
| 1417475757 | Scott Lee Jones | Recreation Therapist | Augustus F. Hawkins, 1720 E. 120th Street, Rm. 2196, Los Angeles, CA 90059 | 2017-09-07 |
| 1881118859 | Darlene Renee Tillman | Speech-Language Pathologist | 1670 E 120th Strret, Los Angeles, CA 90059 | 2017-08-01 |
| 1609306430 | Valda Therese Flores | Registered Nurse | 1670 E. 120th Street, Los Angeles, CA 90059 | 2017-06-14 |
| 1093244006 | Bongsill Chung | Registered Nurse | 1670 East 120th St, Los Angeles, CA 90059 | 2017-06-05 |
| 1730573395 | Apollonia Godoy | Registered Nurse | 1670 E. 120th St, 4th Floor, Module A, Los Angeles, CA 90059 | 2015-03-22 |
| Find all providers in zip 90059 | ||||
| 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 |
|---|---|---|---|---|
| 1841899549 | Callie Lind Klebanoff | Social Worker | 3162 Glenmanor Pl, Los Angeles, CA 90039-1713 | 2020-10-22 |
| 1215534060 | Arianna Armstrong | Social Worker | 1417 Wildwood Dr, Los Angeles, CA 90041-3130 | 2020-10-05 |
| 1518572932 | Jamila Leander | Social Worker | 1055 Wilshire Blvd Ste 1955, Los Angeles, CA 90017-5602 | 2020-09-11 |
| 1700491529 | Danesha Jamerson | Social Worker | 4184 3rd Ave, Los Angeles, CA 90008-4043 | 2020-09-09 |
| 1427663384 | Samantha Erin Stepleton | Social Worker | 3201 S Barrington Ave Apt E, Los Angeles, CA 90066-1139 | 2020-09-08 |
| 1821601345 | Kei Nguyen | Social Worker | 3035 Ingledale Ter, Los Angeles, CA 90039-1719 | 2020-08-25 |
| 1659984292 | Bina Zargari | Social Worker | 1129 S Holt Ave, Los Angeles, CA 90035-2405 | 2020-08-24 |
| 1275144685 | Jessica Lindsay Sotelo | Social Worker | 1530 N Poinsettia Pl Apt 241, Los Angeles, CA 90046-7915 | 2020-08-11 |
| 1982212155 | Alexandra Gubin | Social Worker | Ucla, 757 Westwood Medical Plaza, Los Angeles, CA 90095 | 2020-07-14 |
| 1811513187 | Rafael C. Angulo | Social Worker | 315 S Virgil Ave Apt 103, Los Angeles, CA 90020-1300 | 2020-06-22 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90059 |
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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.