DAYLEN CECIL ROBERTS (NPI# 1699102004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699102004 |
| Entity Type | Individual |
| Full Name | DAYLEN CECIL ROBERTS |
| Credential | ASW, CADCII |
| Practice Address |
10155 Socrates Mine Road Middletown CA 95461 |
| Mailing Address |
Po Box 316 Lucerne CA 95458-0316 |
| Practice Telephone | 7079879972 |
| Practice Fax Number | 7079872591 |
| Mailing Telephone | 7072745610 |
| Mailing Fax Number | 7070061325 |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2019-07-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CCDS-R1003301852 | CA | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CSCR1003301852 | CA | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
ASW87243 | CA | Behavioral Health & Social Service Providers |
| Street Address |
10155 SOCRATES MINE ROAD |
| City | MIDDLETOWN |
| State | CA |
| Zip Code | 95461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225465941 | Joseph Edward Lupfer | Counselor | 10155 Socrates Mine Road, Middletown, CA 95461-0626 | 2013-09-27 |
| 1114315348 | Bonnie O'donnell | Counselor | 10155 Socrates Mine Road, Middletown, CA 95461-0626 | 2014-12-22 |
| 1942608179 | Anthony Palma | Counselor | 10155 Socrates Mine Road, Middletown, CA 95461-0626 | 2014-12-22 |
| 1194154377 | Kate Newman | Counselor | 10155 Socrates Mine Road, Middletown, CA 95461 | 2013-11-07 |
| 1386072320 | Ryan Runyon | Counselor | 10155 Socrates Mine Road, Middletown, CA 95461-0626 | 2013-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518523489 | Melissa Lynn Lipari | Student in an Organized Health Care Education/Training Program | 21825 Jerusalem Grade Road, Middletown, CA 95461 | 2019-05-15 |
| 1285952929 | Deidre Anne O'malley | Acupuncturist | 21128 Calistoga St., Suite A, Middletown, CA 95461 | 2010-05-05 |
| 1760502868 | Laura Goates Hobson | Acupuncturist | 10685 Sycamore Road, Loch Lomond, CA 95461 | 2007-03-30 |
| 1558418483 | Elizabeth Montgomery | Marriage & Family Therapist | 21050 Bush St., Middletown, CA 95461 | 2007-01-04 |
| 1417027319 | Sheila Safarian | Dentist | 21128 Calistoga Road, #0123, Middletown, CA 95461 | 2006-11-08 |
| 1972593788 | Adventist Health Clearlake Hospital Inc. | Clinic/Center | 21337 Bush St, Middletown, CA 95461 | 2005-10-24 |
| 1770911745 | Lynn Jordan | Registered Nurse | 21337 Bush Street, Middletown, CA 95461 | 2013-10-29 |
| 1063791028 | Adventist Health California Medical Group, Inc. | Family Medicine | 21337 Bush Street, Middletown, CA 95461 | 2011-08-09 |
| 1114137775 | Ian Van Zyl Bds,dds,ms & Ewa Konopka,dds,apc | Dentist | 21038 Calistoga St., Middletown, CA 95461-1124 | 2007-05-23 |
| 1285844852 | Ewa Konopka | Dentist | 21038 Calistoga St., Middletown, CA 95461-1124 | 2007-05-23 |
| Find all providers in zip 95461 | ||||
| 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 |
|---|---|---|---|---|
| 1578163614 | Ella Behavioral Health and Consulting LLC | Social Worker | 602 Cambridge Cmns, Middletown, CT 06457-5871 | 2020-10-28 |
| 1285249797 | Lucinda M Cadet | Social Worker | 600 N. Broad Street, Suite 5, #768, Middletown, DE 19709 | 2020-09-11 |
| 1497373807 | Cassandra Mello | Social Worker | 38 Commerce Dr, Middletown, RI 02842-6291 | 2020-07-13 |
| 1386282820 | Ryan Cooperhouse | Social Worker | 19 Kamar Ct, Middletown, NJ 07748-3424 | 2019-12-16 |
| 1356806483 | Terry Janette Gaspard | Social Worker | 42 Valley Rd Ste 3c, Middletown, RI 02842-6376 | 2019-02-03 |
| 1821588468 | Full and Fit Family LLC | Social Worker | 363 Main St Ste 513, Middletown, CT 06457-3359 | 2018-05-17 |
| 1205324845 | Meryle Robin Lederer | Social Worker | 35 Randall Hts, Middletown, NY 10940-4630 | 2018-04-30 |
| 1902393986 | Akeeso Counseling Services | Social Worker | 608 Ingrassia Rd, Middletown, NY 10940-2237 | 2018-04-16 |
| 1962909424 | Jannett Julia Hernandez | Social Worker | 1227 Central Ave, Middletown, OH 45044-4103 | 2018-04-11 |
| 1497252134 | Michael Miarecki Counseling LLC | Social Worker | 363 Main St Ste 311, Middletown, CT 06457-3359 | 2018-04-10 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 95461 |
Please comment or provide details below to improve the information on DAYLEN CECIL ROBERTS.
| 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.