SHELLY KWONG (NPI# 1699058180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699058180 |
| Entity Type | Individual |
| Full Name | SHELLY KWONG |
| Practice Address |
1318 B St Apt B-113 Hayward CA 94541-2944 |
| Mailing Address |
149 Piccadilly Pl Apt A San Bruno CA 94066-2142 |
| Practice Telephone | 4158128402 |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2018-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
1318 B ST APT B-113 |
| City | HAYWARD |
| State | CA |
| Zip Code | 94541-2944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184264442 | Shraddha P Kalgutkar | Occupational Therapist | Windsor Garden Center of Hayward, 1628 B St, Hayward, Ca 94541, Hayward, CA 94541 | 2020-01-14 |
| 1770068215 | Kiran Prasad | Behavior Technician | 1151 A Street, Hayward, Hayward, CA 94541 | 2018-10-01 |
| 1053813287 | Sarra Elizabeth Marin | Behavior Technician | 19261 Medford Ct, Hayward, CA 94541 | 2018-03-03 |
| 1679073803 | Mark Basta | Optometrist | 1237 B St., Hayward, CA 94541 | 2018-02-14 |
| 1417478389 | James Steven Quinn | Counselor | 590 B Street, Hayward, CA 94541 | 2017-06-30 |
| 1689103020 | Natalie Limm | Psychologist | 25099 Oakridge Court, Hayward, CA 94541 | 2017-06-08 |
| 1760911739 | David Patrick Mcguinness | Counselor | 490 B Street, Hayward, CA 94541 | 2017-06-05 |
| 1891235859 | Alzheimer's Services of The East Bay, Incorporated | Clinic/Center | 1105 Walpert Street, Hayward, CA 94541 | 2017-02-24 |
| 1013463629 | Diana Consuelo Rais | Social Worker | 1065 A. Street, Hayward, CA 94541 | 2016-09-01 |
| 1417303934 | Maria Hernandez | Social Worker | 22211 Foothill Blvd., Hayward, CA 94541 | 2016-05-13 |
| Find all providers in zip 94541 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780193219 | Kellyn Ruth Ann Gutmann | Counselor | 150 Benmore Dr, Hayward, CA 94542-7936 | 2017-09-27 |
| 1386097756 | Marlene Elizabeth Economides | Counselor | 21866 Main St, Hayward, CA 94541-2614 | 2016-07-20 |
| 1275986739 | Fred Finch Youth Center | Counselor | 23515 Maud Ave, Hayward, CA 94541-4519 | 2016-07-20 |
| 1174976633 | Fred Finch Youth Center | Counselor | 2184 Thayer Ave, Hayward, CA 94545-2925 | 2016-07-20 |
| 1114370665 | Fred Finch Youth Center | Counselor | 26268 Flamingo Ave, Hayward, CA 94544-3159 | 2016-07-20 |
| 1083052542 | Eury Ramos | Counselor | 2048 B St, Hayward, CA 94541-3204 | 2013-06-06 |
| 1063776896 | Susan Lambert | Counselor | 27790 Portsmouth Ave, Hayward, CA 94545-4013 | 2012-06-26 |
| 1578861498 | Tracy Charisse Larson | Counselor | 15655 County Rd B, Hayward, WI 54843-3251 | 2011-03-01 |
| 1851608913 | Vanessa Padilla Mahaffey | Counselor | 307 Toscana Way, Hayward, CA 94545-1922 | 2010-09-09 |
| 1750616124 | Tamilyn D White | Counselor | Northlakes Community Clinic, 15954 Rivers Edge Drive, Hayward, WI 54843-5484 | 2009-10-02 |
| Find all providers in HAYWARD | ||||
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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.