MARIN COUNTY TCM PROGRAM (NPI# 1710167440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710167440 |
| Entity Type | Organization |
| Organization Name | MARIN COUNTY TCM PROGRAM |
| Practice Address |
20 N San Pedro Rd Ste 2027 San Rafael CA 94903-4158 |
| Practice Telephone | 4154996936 |
| Mailing Telephone | 4154996936 |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2007-11-09 |
| Authorized Official Name | MRS. LINDA F FORTELKA (MAA/TCM COORDINATOR) |
| Authorized Official Telephone | 4154996936 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| Street Address |
20 N SAN PEDRO RD STE 2027 |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94903-4158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467089524 | Christopher Sazo | Counselor | 1 St. Vincents Drive, San Rafael, CA 94903 | 2020-03-26 |
| 1134769482 | Katherine Sieger | Music Therapist | 400 Civic Center Dr. #300, San Rafael, CA 94903 | 2020-01-14 |
| 1679064836 | California In Home Care & Registry, Inc | In Home Supportive Care | 14b Mitchell Blvd, Suite B, San Rafael, CA 94903 | 2018-05-23 |
| 1922557586 | Helen Elizabeth Shamis | Marriage & Family Therapist | 30 North San Pedro, Suite #265, Beyond Hunger, San Rafael, CA 94903 | 2016-09-23 |
| 1033572771 | Henry Colbert | Counselor | 1 St. St. Vincent Drive, San Rafael, CA 94903 | 2016-03-31 |
| 1659736924 | Robyn Bloom | Marriage & Family Therapist | 4 Joseph Court, San Rafael, CA 94903 | 2015-12-30 |
| 1851760565 | Cheryl Clementson | Substance Abuse Rehabilitation Facility | 301 Smith Ranch Road, San Rafael, CA 94903 | 2015-09-23 |
| 1588043731 | Chelsea Cooney | Counselor | 1 St. Vincent's Drive, San Rafael, CA 94903 | 2015-05-20 |
| 1083002315 | Kaiser Permanente | Psychiatric Unit | 111 Smith Ranch Road, Kaiser Permanente, San Rafael, CA 94903 | 2015-01-09 |
| 1366857856 | Travel Well Corporation | Preventive Medicine | 28 Mitchell Blvd, San Rafael, CA 94903 | 2014-06-24 |
| Find all providers in zip 94903 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811395270 | Nerina M. Cecchin | Case Management | 1368 Lincoln Ave Ste 212, San Rafael, CA 94901-2121 | 2014-12-16 |
| 1568697324 | David Shevick | Case Management | 34 Dolores St, San Rafael, CA 94901-5105 | 2009-05-22 |
| 1437286879 | Community Action Marin | Case Management | 555 Northgate Blvd., Suite 201, San Rafael, CA 94903 | 2007-02-27 |
| 1154466472 | Marin Housing Authority | Case Management | 930 Tamalpais Ave, San Rafael, CA 94901-3325 | 2007-02-21 |
| 1356496897 | Buckelew Programs - Tay | Case Management | 980 Lincoln Ave, Suite 250, San Rafael, CA 94901-8801 | 2007-01-24 |
| 1538599311 | Jewish Family and Children's Services | Case Management | 600 5th Ave, San Rafael, CA 94901-3348 | 2013-11-15 |
| 1497085146 | Buckelew Programs | Case Management | 914 Mission Ave Fl 3, San Rafael, CA 94901-6106 | 2009-12-31 |
| 1831369560 | Buckelew Programs | Case Management | 914 Mission Ave, San Rafael, CA 94901-6106 | 2008-03-10 |
| 1922134402 | Community Action Marin | Case Management | 3270 Kerner Blvd, Building A, Suite C, San Rafael, CA 94901-4840 | 2007-02-26 |
| 1629104112 | Community Action Marin | Case Management | 3270 Kerner Blvd, Building A, Suite C, San Rafael, CA 94901-4840 | 2007-02-26 |
| Find all providers in SAN RAFAEL | ||||
| City | SAN RAFAEL |
| Zip Code | 94903 |
Please comment or provide details below to improve the information on MARIN COUNTY TCM PROGRAM.
| 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.