MR. CHARLES THOMAS DOUGLASS (NPI# 1730298944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730298944 |
| Entity Type | Individual |
| Full Name | MR. CHARLES THOMAS DOUGLASS |
| Credential | LCSW MFT |
| Practice Address |
4126 S Demaree St Ste B Visalia CA 93277-9514 |
| Practice Telephone | 5597466308 |
| Practice Fax Number | 5596274876 |
| Mailing Telephone | 5597466308 |
| Mailing Fax Number | 5596274876 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 104100000X | Social Worker | LCS7807 | CA | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | MFC3824 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CSW078070 | 05 |
| Street Address |
4126 S DEMAREE ST STE B |
| City | VISALIA |
| State | CA |
| Zip Code | 93277-9514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104861152 | Lance Y Zimmerman | Psychologist | 4126 S Demaree St, Visalia, Visalia, CA 93277-9514 | 2006-06-16 |
| 1346792363 | Diane Thao | Social Worker | 4126 S Demaree St, Visalia, CA 93277-9514 | 2016-10-25 |
| 1538510128 | Brenda A. Mueller | Psychologist | 4126 S Demaree St, Ste B, Visalia, CA 93277-9514 | 2016-06-25 |
| 1477841781 | Spineworks Chiropractic | Chiropractor | 4126 S Demaree St, Suite A, Visalia, CA 93277-9514 | 2011-07-20 |
| 1982848958 | Tern Yang | Chiropractor | 4126 S Demaree St, Suite A, Visalia, CA 93277-9514 | 2009-04-21 |
| 1811012537 | Carol Louise Cruz | Counselor | 4126 S Demaree St, Suite B, Visalia, CA 93277-9514 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041345 | Jonathan Edward Urey | Hearing Instrument Specialist | 4006 S Demaree St., Visalia, CA 93277 | 2020-10-21 |
| 1093341307 | Kings Medical Center | Occupational Therapist | 5135 W. Noble Ave, Visalia, CA 93277 | 2020-03-18 |
| 1447728738 | Azucena Alcantar | Behavior Technician | 1730 W. Walnut Avenue, Suite A, Visalia, CA 93277 | 2018-11-05 |
| 1770077620 | Debra Kay Schmitt | Social Worker | 4150 S Demaree St Ste C, Visalia, CA 93277 | 2018-06-14 |
| 1356839773 | Jay Gabriel Diaz | Counselor | 1646 South Court Street, Visalia, CA 93277 | 2018-05-01 |
| 1194212696 | Turning Point of Central California Inc. | Counselor | 1845 1/2 South Court Street, Visalia, CA 93277 | 2018-04-19 |
| 1386141497 | Sara Hoehn | Assistant Behavior Analyst | 11535 Rd. 264, Visalia, CA 93277 | 2018-04-06 |
| 1578074035 | Yan Jiang | Nurse Practitioner | 1633 S Court Stress, Visalia, CA 93277 | 2017-10-23 |
| 1407375702 | Tara Perez | Counselor | 6500 S. Mooney Blvd, Visalia, CA 93277 | 2017-09-18 |
| 1780106948 | Brooke Kiyo Norton | Psychologist | 5215 W Noble Ave, Suite A-19, Visalia, CA 93277 | 2017-07-10 |
| Find all providers in zip 93277 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477043933 | Brisana Flores | Social Worker | 601 W Willow Ave, Visalia, CA 93291-6101 | 2018-05-10 |
| 1629372412 | Kathleen Mccorkle | Social Worker | 1019 N Demaree St, Ste A, Visalia, CA 93291-4117 | 2011-01-07 |
| 1770892408 | Meredith A Casares | Social Worker | 400 E. Oak St., Visalia, CA 93291-5034 | 2010-09-29 |
| 1982886404 | Pamela E Nelson | Social Worker | 3500 W Mineral King Ave, Suite C, Visalia, CA 93291-5635 | 2007-11-27 |
| 1053433177 | Melissa L. Heinrichs | Social Worker | 113 N.chruch Street, Suite 319, Visalia, CA 93292 | 2007-04-06 |
| 1871615203 | Kevin Micheal Enquist | Social Worker | 113 N Church St Ste 319, Visalia, CA 93291-6300 | 2007-04-05 |
| 1053442012 | Maribel Paula Gonzalez | Social Worker | 109 Nw 2nd Avenue, Visalia, CA 93291 | 2007-03-08 |
| 1619947389 | Bonnie Lb Oliveira | Social Worker | 2313 S Redwood Dr, Visalia, CA 93277-6017 | 2006-01-25 |
| 1982194486 | Kim Fahm Chao | Social Worker | 400 W Mineral King Ave, Visalia, CA 93291-6237 | 2018-05-10 |
| 1134635261 | Darcy Patrice Massey | Social Worker | 520 E Tulare Ave, Visalia, CA 93292-3629 | 2017-12-27 |
| Find all providers in VISALIA | ||||
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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.