NATHAN WALLACE (NPI# 1710353917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710353917 |
| Entity Type | Individual |
| Full Name | NATHAN WALLACE |
| Practice Address |
3657 Ricardo Ave Redding CA 96002-2627 |
| Mailing Address |
3216 Denice Way Cottonwood CA 96022-9581 |
| Practice Telephone | 5302429007 |
| Practice Fax Number | 5302232027 |
| Mailing Telephone | 5303554336 |
| Mailing Fax Number | 5302232027 |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2015-08-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
ASW67382 | CA | Behavioral Health & Social Service Providers |
| Street Address |
3657 RICARDO AVE |
| City | REDDING |
| State | CA |
| Zip Code | 96002-2627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194053116 | Lluvia Hetrick | Social Worker | 3657 Ricardo Ave, Redding, CA 96002-2627 | 2009-12-02 |
| 1366042269 | Christopher Garcia | Marriage & Family Therapist | 3657 Ricardo Ave, Redding, CA 96002-2627 | 2020-10-29 |
| 1306446315 | Shaw Tiefenbach | Marriage & Family Therapist | 3657 Ricardo Ave, Redding, CA 96002-2627 | 2020-10-28 |
| 1801496807 | Kari Hess | Social Worker | 3657 Ricardo Ave, Redding, CA 96002-2627 | 2020-10-28 |
| 1255931259 | Jung Chay | Marriage & Family Therapist | 3657 Ricardo Ave, Redding, CA 96002-2627 | 2020-10-28 |
| 1952901092 | Mattison Wenham | Marriage & Family Therapist | 3657 Ricardo Ave, Redding, CA 96002-2627 | 2020-10-28 |
| 1245864222 | Pamela Politi | Marriage & Family Therapist | 3657 Ricardo Ave, Redding, CA 96002-2627 | 2020-02-27 |
| 1952935934 | Colleen Ogden | Marriage & Family Therapist | 3657 Ricardo Ave, Redding, CA 96002-2627 | 2020-02-27 |
| 1689208662 | Lydia Mcgaffee | Case Manager/Care Coordinator | 3657 Ricardo Ave, Redding, CA 96002-2627 | 2020-02-27 |
| 1033743422 | Sean Mcmasters | Marriage & Family Therapist | 3657 Ricardo Ave, Redding, CA 96002-2627 | 2020-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265048037 | Daniel Eli Bartee | Counselor | 555 Leila Ave #44, Redding, CA 96002 | 2020-09-17 |
| 1407467129 | Drake Exstrom | Dentist | 2315 North Bechelli Ln, Suite A, Redding, CA 96002 | 2020-08-14 |
| 1285123117 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 20846 Clairvaux Drive, Redding, CA 96002 | 2018-05-07 |
| 1528510153 | Daniel Conklin | Pharmacist | 2880 Churn Creek, Redding, CA 96002 | 2016-10-31 |
| 1740653864 | Votc, Inc. | Substance Abuse Rehabilitation Facility | 3590 El Portal Dr., # 7, 8, 9, 10, 15, 16, & 17, Redding, CA 96002 | 2015-11-11 |
| 1801226253 | Katie Marie Mccullough-stubbs | Marriage & Family Therapist | 3300 Church Creek, Redding, CA 96002 | 2013-11-21 |
| 1801234026 | Kathy Lynne Hawk | Community Health Worker | 2051 Hilltop Dr A-13, Redding, CA 96002 | 2013-06-10 |
| 1619247590 | Wright Education Services | Social Worker | 2660 Victor Ave, Redding, CA 96002 | 2012-01-09 |
| 1275828840 | Shannika Tricia Dao | Dentist | 2695 Bechelli Ln, Redding, CA 96002 | 2011-06-13 |
| 1336442664 | Small Talk Pediatric Services, Inc. | Speech-Language Pathologist | 2526 Goodwater Ave., Suite A, Redding, CA 96002 | 2010-12-08 |
| Find all providers in zip 96002 | ||||
| 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 |
|---|---|---|---|---|
| 1730651266 | Vanessa Louise Banda | Social Worker | 1544 Magnolia Avenue, Redding, CA 96001 | 2018-12-21 |
| 1154849479 | Leslie Rubury | Social Worker | 90 Peaceable St, Redding, CT 06896-3107 | 2017-09-07 |
| 1891224440 | Audrey Cutler | Social Worker | 1313 Yuba St., Redding, CA 96001 | 2017-06-07 |
| 1811344450 | Roger Milton Slagle | Social Worker | 999 Mission De Oro Dr Ste 103, Redding, CA 96003 | 2016-05-23 |
| 1821455577 | Joshua Roberts | Social Worker | 478 Bedrock Ln, Redding, CA 96003-3345 | 2016-01-26 |
| 1750758884 | Justina Marion Hale | Social Worker | 2338 Dartmouth Dr, Redding, CA 96001-5818 | 2015-08-24 |
| 1548665862 | Michelle Kamla | Social Worker | 2400 Washington Ave Ste 401, Redding, CA 96001-2827 | 2014-10-29 |
| 1932512738 | Anne Shields | Social Worker | 2 Rob Rider Rd, Redding, CT 06896-1303 | 2014-06-09 |
| 1619247590 | Wright Education Services | Social Worker | 2660 Victor Ave, Redding, CA 96002 | 2012-01-09 |
| 1912297664 | George Bronson Scripture IIi | Social Worker | 448 Redcliff Dr Ste 120, Redding, CA 96002-0159 | 2011-04-14 |
| Find all providers in REDDING | ||||
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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.