MS. CHINA KEYONNIE GASSOWAY STEVENSON (NPI# 1730323866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730323866 |
| Entity Type | Individual |
| Full Name | MS. CHINA KEYONNIE GASSOWAY STEVENSON |
| Practice Address |
4010 Watson Plaza Dr Suite 135 Lakewood CA 90712-4037 |
| Mailing Address |
3605 Long Beach Blvd Suite 331 Long Beach CA 90807-4013 |
| Practice Telephone | 5624217225 |
| Practice Fax Number | 5624217221 |
| Mailing Telephone | 5629890515 |
| Mailing Fax Number | 5624217221 |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2015-09-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
4010 WATSON PLAZA DR SUITE 135 |
| City | LAKEWOOD |
| State | CA |
| Zip Code | 90712-4037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811995665 | Jubilee Health Care Management, Inc. | Home Health | 4010 Watson Plaza Dr, Suite 210, Lakewood, CA 90712-4037 | 2005-07-13 |
| 1750827291 | Constance Shin | Marriage & Family Therapist | 4010 Watson Plaza Dr, Suite 285, Lakewood, CA 90712-4037 | 2017-01-09 |
| 1700140282 | Sandra Lee Flores | Social Worker | 4010 Watson Plaza Dr, Suite 285, Lakewood, CA 90712-4037 | 2012-06-28 |
| 1538302773 | Richard Carl Romero | Counselor | 4010 Watson Plaza Dr, Lakewood, CA 90712-4037 | 2009-04-17 |
| 1346483583 | Jacqueline N Gomez | Counselor | 4010 Watson Plaza Dr, Lakewood, CA 90712-4037 | 2009-04-17 |
| 1861638256 | Adriana Michelle Meza | Counselor | 4010 Watson Plaza Dr, Lakewood, CA 90712-4037 | 2009-01-06 |
| 1538339627 | Maribel Contreras | Counselor | 4010 Watson Plaza Dr, Lakewood, CA 90712-4037 | 2008-03-05 |
| 1649476425 | Crittenton Services for Children and Families | Community/Behavioral Health | 4010 Watson Plaza Dr, Lakewood, CA 90712-4037 | 2007-06-27 |
| 1538380951 | Kendra Venetta Tankersley | Rehabilitation Practitioner | 4010 Watson Plaza Dr, 135, Lakewood, CA 90712-4037 | 2007-05-02 |
| 1962520205 | Yoshika Okada Sincock | Marriage & Family Therapist | 4010 Watson Plaza Dr, Lakewood, CA 90712-4037 | 2007-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689289944 | Createwellness LLC | Social Worker | 5250 Hayter Avenue, Lakewood, CA 90712 | 2020-09-14 |
| 1801451398 | Marilou Toquero Dental Corp | Durable Medical Equipment & Medical Supplies | 3203 Carson St Suite 2, Lakewood, CA 90712 | 2019-05-09 |
| 1225510126 | N Ozder Dental Practice Inc | Clinic/Center | 5037 Lakewood Blvd, Lakewood, CA 90712 | 2018-09-06 |
| 1003394446 | Robert Michael Schlesinger | Counselor | 5150 Candlewood St Ste 13a, Lakewood, CA 90712 | 2018-07-28 |
| 1316439847 | P.r.i.s.m. Institute Inc. | Chiropractor | 5233 Premiere Ave, Lakewood, CA 90712 | 2018-05-31 |
| 1316477938 | Broadleaf Healthcare | Orthotist | 4345 Levelside Ave, Lakewood, CA 90712 | 2017-06-15 |
| 1679008049 | Adrienne Yoshiko Doi | Podiatrist | 3700 East South Street, Lakewood, CA 90712 | 2017-04-24 |
| 1841747334 | Garrison R Weaver-gourdeau | Chiropractor | 4115 E. South St, Lakewood, CA 90712 | 2016-09-01 |
| 1073967394 | Mirna S Rizkalla | Family Medicine | 3650 South St Ste 404, Lakewood, CA 90712 | 2016-04-22 |
| 1841657251 | Roxanna Jimenez | Rehabilitation Practitioner | 5818 Clark Ave, Lakewood, CA 90712 | 2016-01-15 |
| Find all providers in zip 90712 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
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|---|---|---|---|---|
| 1629604293 | Colorado Home Care Services LLC | Case Manager/Care Coordinator | 895 Brentwood St, Lakewood, CO 80214-4451 | 2020-03-16 |
| 1023672185 | Laura Macalik | Case Manager/Care Coordinator | 725 Airport Rd Ste 2, Lakewood, NJ 08701-5968 | 2019-04-24 |
| 1164998282 | Milenia Ods LLC | Case Manager/Care Coordinator | 2 Sienna Way, Lakewood, NJ 08701-2148 | 2018-10-16 |
| 1619479441 | Jacob House | Case Manager/Care Coordinator | 13420 W Warren Ave, Lakewood, CO 80228-4616 | 2018-03-07 |
| 1831549203 | Diana Lynne Fox | Case Manager/Care Coordinator | 2125 S Ammons St, Lakewood, CO 80227-2409 | 2016-06-16 |
| 1295068146 | Monica Michelle Sheleay | Case Manager/Care Coordinator | 12350 Del Amo Blvd, #2516, Lakewood, CA 90715-1732 | 2009-09-10 |
| 1497914261 | Sarah Mary Shaw | Case Manager/Care Coordinator | 7133 W Virginia Ave Apt 302, Lakewood, CO 80226-3159 | 2008-06-05 |
| 1497952097 | Brandt Joseph Vansickle | Case Manager/Care Coordinator | 1370 Ames St, Lakewood, CO 80214-2218 | 2007-06-28 |
| 1578783106 | Danielle Renee' Sikula | Case Manager/Care Coordinator | 17815 Northwood Ave, Lakewood, OH 44107-2225 | 2007-04-26 |
| 1407482508 | Ramy Elsawah | Case Manager/Care Coordinator | 1215 Route 70 Ste 2001, Lakewood, NJ 08701-7023 | 2020-03-20 |
| Find all providers in LAKEWOOD | ||||
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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.