ALEXIS ACEVEDO (NPI# 1689288052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689288052 |
| Entity Type | Individual |
| Full Name | ALEXIS ACEVEDO |
| Credential | ASW, MSW |
| Practice Address |
290 Ioof Ave Gilroy CA 95020-5204 |
| Practice Telephone | 4088714900 |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2020-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | ASW96378 | CA | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
ASW96378 | CA | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | ASW96378 | CA | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
ASW96378 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073904975 | Alexis Acevedo | Counselor | 14 Bruckner Blvd Ste 3e, Bronx, NY 10454 | 2015-02-12 |
| 1902302995 | Alexis Acevedo | Counselor | 4419 W North Ave, Melrose Park, IL 60160-1021 | 2018-03-30 |
| Street Address |
290 IOOF AVE |
| City | GILROY |
| State | CA |
| Zip Code | 95020-5204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164597753 | Domingo Gomez Jr. | Case Manager/Care Coordinator | 290 Ioof Ave, Gilroy, CA 95020-5204 | 2006-11-21 |
| 1275132268 | Patricia Del Carmen Amaya | Licensed Vocational Nurse | 290 Ioof Ave, Gilroy, CA 95020-5204 | 2020-10-20 |
| 1427655505 | Alyse Freitas | Counselor | 290 Ioof Ave, Gilroy, CA 95020-5204 | 2020-10-02 |
| 1295342632 | Shalane Lee | Counselor | 290 Ioof Ave, Gilroy, CA 95020-5204 | 2020-09-29 |
| 1942816814 | Rachel Marie Anderson | Case Manager/Care Coordinator | 290 Ioof Ave, Gilroy, CA 95020-5204 | 2020-09-16 |
| 1508470089 | Kathryn Elizabeth Wampler | Counselor | 290 Ioof Ave, Gilroy, CA 95020-5204 | 2020-09-02 |
| 1023622719 | Justin Janda | Counselor | 290 Ioof Ave, Gilroy, CA 95020-5204 | 2020-09-01 |
| 1609487602 | Justin Azevedo | Marriage & Family Therapist | 290 Ioof Ave, Gilroy, CA 95020-5204 | 2020-08-12 |
| 1740890995 | Andrea Natali Lopez | Technician | 290 Ioof Ave, Gilroy, CA 95020-5204 | 2020-08-03 |
| 1992314348 | Samantha Kathleen Chicca | Student in an Organized Health Care Education/Training Program | 290 Ioof Ave, Gilroy, CA 95020-5204 | 2020-07-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376158105 | Benjamin Liupaogo | Case Manager/Care Coordinator | Rebekah Children's Services, 290 Ioof Ave, Gilroy, CA 95020 | 2020-09-09 |
| 1205457330 | Ethel Rostran | Counselor | 290 I00f Ave., Gilroy, CA 95020 | 2020-04-29 |
| 1407498868 | Mehak Saini | Behavior Technician | 9360 Noname Uno, Gilroy, CA 95020 | 2019-10-16 |
| 1629622899 | Bruce Daniel Pirl | Counselor | 290 Ioof Rebekah Children Ave, 290 Ioof Avenue-phoenix School, Gilroy, CA 95020 | 2019-07-26 |
| 1932752490 | Eamon F. Burke | Counselor | Rebekah Children Services, 290 Ioof Ave., Gilroy, CA 95020 | 2019-07-23 |
| 1578116232 | Jose Enrique Cruz | Behavior Technician | 9360 Noname Uno #130, Gilroy, CA 95020 | 2019-07-22 |
| 1558925560 | Mauricio Hazael Procopio | Behavioral Analyst | 9360 Noname Uno Suite 130, Gilroy, CA 95020 | 2019-04-24 |
| 1689138893 | Gabriela Mendoza | Behavioral Analyst | 9395 Kern Ave, Gilroy, CA 95020 | 2019-01-22 |
| 1972082782 | Andrea Gloria Blanton | Social Worker | Rebekah Children's Services, 290 100f Ave, Gilroy, CA 95020 | 2018-08-13 |
| 1407334626 | Katrina Davina Aguilera | Case Manager/Care Coordinator | 290 Loof Ave., Gilroy, CA 95020 | 2018-07-31 |
| Find all providers in zip 95020 | ||||
| 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 |
|---|---|---|---|---|
| 1972082782 | Andrea Gloria Blanton | Social Worker | Rebekah Children's Services, 290 100f Ave, Gilroy, CA 95020 | 2018-08-13 |
| 1033307327 | Melanie Marie Davis | Social Worker | 8339 Church St Ste 109, Gilroy, CA 95020-4450 | 2007-10-11 |
| 1346364486 | D'anna Lynn Ramirez | Social Worker | 2132 Gullane Way, Gilroy, CA 95020-3084 | 2007-03-16 |
| 1154458644 | Pamela Oshiro-fossati | Social Worker | 6980 Chestnut Street, Gilroy, CA 95020 | 2007-02-28 |
| 1902976962 | Jennifer Debutts | Social Worker | 290 I O O F Ave, Gilroy, CA 95020-5204 | 2006-11-08 |
| 1235736968 | Tonameyotzin Gonzalez Karlsson | Social Worker | 9015 Murray Ave Ste 100, Gilroy, CA 95020-3675 | 2020-10-06 |
| 1053946723 | Diana Hernandez | Social Worker | 290 Ioof Ave, Gilroy, CA 95020-5204 | 2020-03-03 |
| 1750870242 | Deanna Thai | Social Worker | 9015 Murray Ave # 100, Gilroy, CA 95020-3617 | 2018-05-09 |
| 1255832952 | Deja Breanna Pagan | Social Worker | 290 Ioof Ave, Gilroy, CA 95020-5204 | 2018-02-27 |
| 1275059743 | Maryann Donegan | Social Worker | 9015 Murray Ave, Gilroy, CA 95020-3617 | 2017-08-16 |
| Find all providers in GILROY | ||||
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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.