MILDRED JOHANNA BLANDINO


Address: 2090 Evans Ln, San Jose, CA 95125-2072
Phone: 4087932406

MILDRED JOHANNA BLANDINO (NPI# 1699916296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699916296
Entity Type Individual
Full Name MILDRED JOHANNA BLANDINO
Other Name MILDRED JOHANAN MAYORGA
Credential LCSW
Practice Address 2090 Evans Ln
San Jose
CA 95125-2072
Practice Telephone 4087932406
Practice Fax Number 4082954081
Mailing Telephone 4087932406
Mailing Fax Number 4082954081
Enumeration Date 2009-03-12
Last Update Date 2009-03-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
24917 CA Behavioral Health & Social Service Providers

Office Location

Street Address 2090 EVANS LN
City SAN JOSE
State CA
Zip Code 95125-2072

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609941947 Juan Alberto Sanchez Social Worker 2090 Evans Ln, San Jose, CA 95125-2072 2006-11-21
1619576972 Esmeralda Bautista Counselor 2090 Evans Ln, San Jose, CA 95125-2072 2020-10-19
1891345716 Semir Rocevic Rehabilitation Counselor 2090 Evans Ln, San Jose, CA 95125-2072 2019-09-12
1083127583 Matthew Alexander Kuzmich Social Worker 2090 Evans Ln, San Jose, CA 95125-2072 2017-11-07
1083144885 Alissa Marie Fisher Case Manager/Care Coordinator 2090 Evans Ln, San Jose, CA 95125-2072 2017-06-14
1336596881 Rick Armand Navarro Social Worker 2090 Evans Ln, San Jose, CA 95125-2072 2016-05-14
1396105623 Angela Michelle Galli Technician, Other 2090 Evans Ln, San Jose, CA 95125-2072 2016-02-29
1568842250 Tamera Puthuff Counselor 2090 Evans Ln, San Jose, CA 95125-2072 2015-06-08
1477954006 Maelise Blosse Marriage & Family Therapist 2090 Evans Ln, San Jose, CA 95125-2072 2014-09-15
1548678345 Amanda Cortez Marriage & Family Therapist 2090 Evans Ln, San Jose, CA 95125-2072 2014-07-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285245431 Carmen J. Frank Marriage & Family Therapist 913 Willow St., Suite 103, San Jose, CA 95125 2020-08-12
1376197848 Mariam Samir Abadir Dentist 1670 Westwood Dr. Suite K, San Jose, CA 95125 2019-08-01
1750870747 Gertrud Stojancic Massage Therapist 3315 Almaden Expressway, # 27/29, San Jose, CA 95125 2018-05-04
1659809259 Edward Escoto Assistant Behavior Analyst 2075 Lincoln Ave Ste D, San Jose, CA 95125 2017-05-25
1104288422 Kristin Ann Dessau Counselor 1261 Lincoln Avenue, Suite 202, San Jose, CA 95125 2016-03-25
1275964488 Indian Health Center of Santa Clara Valley Clinic/Center 1685 Westwood Dr Ste 1, San Jose, CA 95125 2013-12-13
1598042905 Walgreens Exclusive Provider Organization 2585 Almaden Road, San Jose, CA 95125 2011-11-14
1881981488 Kevin Jia-chian Yen Dentist 1660 Willow St Ste 5, San Jose, CA 95125 2011-07-02
1699093724 Lokahi Acupuncture, Inc. Acupuncturist 1688 Willow Street, Suite B, San Jose, CA 95125 2010-05-13
1538482468 Mark Lucius Yoslow Psychologist 970 Minnesota Avenue, San Jose, CA 95125 2010-03-06
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023633708 Efrat Shemesh Katan Social Worker 1025 Wunderlich Dr, San Jose, CA 95129-3159 2020-06-09
1982227138 Ruth Larsen Social Worker 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 2020-05-22
1083236905 Carey Gil Social Worker 1885 The Alameda Ste 120, San Jose, CA 95126-1732 2020-05-13
1912555996 Marie Danh Social Worker 701 Miller St, San Jose, CA 95110-2121 2019-09-03
1194203497 Janet Caudillo Social Worker 373 W Julian St, San Jose, CA 95110-2319 2018-07-30
1699267971 Wendy Shapiro Social Worker 1245 S Winchester Blvd Ste 306, San Jose, CA 95128-3908 2018-06-03
1871099523 Elisse Reyna Social Worker 2670 S White Rd Ste 170, San Jose, CA 95148-2071 2018-04-02
1487166062 Giorgio Andrea Quittan I Social Worker 1046 W Taylor St Ste 204, San Jose, CA 95126-1815 2017-11-03
1942712211 Zenon Post Social Worker 31 N 2nd St # 265, San Jose, CA 95113-1231 2017-10-26
1578010526 Gayle Peitso Social Worker 15780 Highland Dr, San Jose, CA 95127-1741 2016-09-07
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Competitor

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City SAN JOSE
Zip Code 95125

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Dataset Information

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.

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