PROVIDENCE COMMUNITY SERVICES (NPI# 1760804454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760804454 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE COMMUNITY SERVICES |
| Practice Address |
100 Oceangate 12th. Floor Long Beach CA 90802-4312 |
| Mailing Address |
4281 Katella Ave Suite 201 Los Alamitos CA 90720-3500 |
| Practice Telephone | 5624675577 |
| Practice Fax Number | 5624675553 |
| Mailing Telephone | 5624675577 |
| Mailing Fax Number | 5624675553 |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2014-01-14 |
| Authorized Official Name | MICHELLE MOLNAR (DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 5624675577 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871973073 | Providence Community Services | Community/Behavioral Health | 41 Crystal St, Apt 4, East Stroudsburg, PA 18301-2874 | 2015-06-02 |
| 1386063055 | Providence Community Services | Counselor | 2425 Olympic Blvd, Suite #4000-w, Santa Monica, CA 90404-4030 | 2014-04-10 |
| 1699194209 | Providence Community Services | Counselor | 2600 Michelson Dr, Suite #1700, Irvine, CA 92612-1550 | 2014-04-10 |
| 1124447750 | Providence Community Services | Counselor | 1140 W. Bernardo Court, Suite #300, San Diego, CA 92127 | 2014-04-10 |
| 1205255825 | Providence Community Services | Counselor | 500 N State College Blvd, Suite #1100, Orange, CA 92868-1604 | 2014-04-10 |
| 1063831931 | Providence Community Services | Counselor | 21550 Oxnard St, 3rd Floor, Woodland Hills, CA 91367-7100 | 2014-04-08 |
| 1245659135 | Providence Community Services | Counselor | 16755 Von Karman Ave, Suite #300, Irvine, CA 92606-4930 | 2014-04-08 |
| 1053730945 | Providence Community Services | Counselor | 18101 Von Karman Ave, 3rd Floor, Irvine, CA 92612-1012 | 2014-04-08 |
| 1710306600 | Providence Community Services | Counselor | 26632 Towne Centre Dr, Suite #300, Foothill Ranch, CA 92610-2813 | 2014-04-08 |
| 1255754784 | Providence Community Services | Social Worker | 3890 11th. Street, Suite 118, Riverside, CA 92501 | 2014-02-04 |
| Street Address |
100 OCEANGATE 12TH. FLOOR |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90802-4312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831173905 | Memrad Medical Group Inc | Clinic/Center | 100 Oceangate, Ste 1000, Long Beach, CA 90802 | 2005-12-02 |
| 1225583057 | U.S. Healthworks Medical Group, PC | Preventive Medicine | 100 Oceangate, P245, Long Beach, CA 90802-4312 | 2016-08-22 |
| 1538538640 | Patricia Lela Williams | Community Health Worker | 100 Oceangate, #550, Long Beach, CA 90802-4312 | 2015-09-18 |
| 1568842763 | Juan A Velazquez | Community Health Worker | 100 Oceangate, Ste 550, Long Beach, CA 90802-4312 | 2015-06-02 |
| 1932539848 | Fitness Chiropractic | Chiropractor | 100 Oceangate, Ste P 280, Long Beach, CA 90802-4312 | 2013-11-14 |
| 1407124589 | April Hagerty | Social Worker | 100 Oceangate, 550, Long Beach, CA 90802-4312 | 2011-12-05 |
| 1699905059 | Emily G. Serna | Social Worker | 100 Oceangate, Suite 550, Long Beach, CA 90802-4312 | 2009-07-20 |
| 1427219484 | Gary Odom | Social Worker | 100 Oceangate, Suite 550, Long Beach, CA 90802-4312 | 2008-06-23 |
| 1346416872 | Tiburcio Maldonado | Community Health Worker | 100 Oceangate, Suite 550, Long Beach, CA 90802 | 2008-05-05 |
| 1972778587 | Kathrine Haaland Lundy | Social Worker | 100 Oceangate, Ste 550, Long Beach, CA 90802-4312 | 2008-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255981791 | Nena Danieles Meador | Technician | 505 West 5th St. Unit 201, Long Beach, CA 90802 | 2019-09-17 |
| 1881241487 | Edward De La Cruz | Technician | 425 E 3rd St., 413, Long Beach, CA 90802 | 2019-08-20 |
| 1992350094 | Kaitlyn May Saephan | Student in an Organized Health Care Education/Training Program | 200 Pine Avenue, Suite 400, Long Beach, CA 90802 | 2019-08-06 |
| 1073175881 | David Coleman | Counselor | 735 West 4th St, Unit D, Long Beach, CA 90802 | 2019-07-01 |
| 1235612193 | Linda Nyagaya | Nurse Practitioner | 200 Oceangate, Suite 100 Long Beach, Ca 90802, Long Beach, CA 90802 | 2018-09-06 |
| 1669998670 | Jessica Huerta | Student in an Organized Health Care Education/Training Program | 456 Elm, Long Beach, CA 90802 | 2017-08-22 |
| 1316462484 | Kathlyn Pearl Parlet | Counselor | 351 E. 6th. Street, Long Beach, CA 90802 | 2017-08-09 |
| 1386168136 | Shena Young | Psychologist | 404 East First St #1191, Long Beach, CA 90802 | 2017-08-02 |
| 1215472758 | Vanessa Pons | Marriage & Family Therapist | 735 W 4th St Unit A, Long Beach, CA 90802 | 2016-12-19 |
| 1821459330 | Surabhi Shah | Occupational Therapist | 330 Golden Shores, Suite 250, Long Beach, CA 90802 | 2016-03-10 |
| Find all providers in zip 90802 | ||||
| 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 |
|---|---|---|---|---|
| 1427657519 | Alana B. Williams | Social Worker | 527 Mockingbird Dr, Long Beach, MS 39560-3118 | 2020-10-20 |
| 1760080709 | Adriana Michelle Ocampo | Social Worker | 4500 E Pacific Coast Hwy Ste 320, Long Beach, CA 90804-3271 | 2020-10-12 |
| 1356956387 | Jessica Margarita Jimenez | Social Worker | 2206 San Anseline Ave Apt 7, Long Beach, CA 90815-2133 | 2020-09-15 |
| 1700494218 | Sonja Roberts Lcsw Psychotherapy Pllc | Social Worker | 120 W Park Ave Ste 215a, Long Beach, NY 11561-3301 | 2020-07-21 |
| 1144838178 | Vanessa L Pezo | Social Worker | 3722 1/2 E Esther St, Long Beach, CA 90804-2007 | 2020-07-15 |
| 1912524182 | Shaylin Malia Madrid | Social Worker | 769 Termino Ave # A, Long Beach, CA 90804-5329 | 2020-07-02 |
| 1053940098 | Daniel Green | Social Worker | 100 Oceangate Ste 610, Long Beach, CA 90802-4365 | 2020-04-02 |
| 1598221376 | Cindy Srivijittrakarn | Social Worker | 5901 E 7th St Bldg 133, Long Beach, CA 90822-5201 | 2019-02-16 |
| 1174090849 | Beth Eiser Sterling | Social Worker | 3131 Julian Ave, Long Beach, CA 90808-4436 | 2018-10-31 |
| 1376027938 | Abigail Joy Dominguez | Social Worker | 2725 Hackett Ave, Long Beach, CA 90815 | 2018-09-19 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90802 |
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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.