YOUTHS' HOPE LICENSED CLINICAL SOCIAL WORKER INC (NPI# 1770845497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770845497 |
| Entity Type | Organization |
| Organization Name | YOUTHS' HOPE LICENSED CLINICAL SOCIAL WORKER INC |
| Other Organization Name | YOUTH HOPE INC |
| Practice Address |
255 N. D Street Suite 400 San Bernardino CA 92401 |
| Mailing Address |
Po Box 264 Pattom CA 92369-0264 |
| Practice Telephone | 9095672808 |
| Practice Fax Number | 9095672808 |
| Mailing Telephone | 9095672808 |
| Mailing Fax Number | 9095672808 |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2019-11-27 |
| Authorized Official Name | DR. GEOFFREY BESTMAN IBEABUCHI (CEO) |
| Authorized Official Telephone | 9095672808 |
| Authorized Official Credential | PHD, LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCS 18357 | CA | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| YOUTH HOPE INC | Doing Business As Name - Organization |
| Youths' Hope Inc. | Former Legal Business Name - Organization |
| Street Address |
255 N. D STREET, SUITE 400 |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885468 | Eagles Wings Hospice, LLC | Hospice Care, Community Based | 255 N. D Street, Suite 200-xix, San Bernardino, CA 92401 | 2020-09-09 |
| 1457831398 | Omar Torres | Case Manager/Care Coordinator | 574 N Arrowhead Ave., San Bernardino, CA 92401 | 2018-08-20 |
| 1104354539 | Llesenia Aleman | Case Manager/Care Coordinator | 597 North Arrowhead Ave, San Bernardino, CA 92401 | 2017-05-30 |
| 1669916193 | Yvonne Castro | Marriage & Family Therapist | 572 N. Arrowhead Ave., Suite 200, San Bernardino, CA 92401 | 2016-12-19 |
| 1811342132 | Maria Teresa Rodriguez Cortes | Counselor | 572 N. Arrowhead Ave. Suite 100, San Bernardino, CA 92401 | 2016-04-25 |
| 1841603339 | Kelly Michelle Cottingham | Licensed Practical Nurse | 350 W. Fifth Street, Suite 212, San Bernardino, CA 92401 | 2014-06-03 |
| 1558781245 | Desiree Inez Harris | Counselor | 572 N Arrowhead Ave #200, San Bernardino, CALIFORNIA 92401 | 2014-04-21 |
| 1194159970 | Sabrina Shrita Thakur | Marriage & Family Therapist | 572 N Arrowhead, San Bernardino, CA 92401 | 2013-08-28 |
| 1235461427 | Erin Nicole Stines | Recreation Therapist | 572 N. Arrowhead Ave. Suite 200, San Bernardino, CA 92401 | 2010-02-12 |
| 1013149327 | Athena Christine Farmer | Massage Therapist | 123 North E Street, Lalama Chiropractic Offices, San Bernardino, CA 92401 | 2009-08-20 |
| Find all providers in zip 92401 | ||||
| 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 |
|---|---|---|---|---|
| 1255942389 | Ifeanyi C Alozie | Social Worker | 255 N D St Ste 401c, San Bernardino, CA 92401-1715 | 2020-08-12 |
| 1366084360 | Theraville Counseling Services, A Licensed Clinical Social Worker Corp | Social Worker | 155 W Hospitality Ln Ste 245, San Bernardino, CA 92408 | 2019-10-10 |
| 1619526209 | Louise E Curran | Social Worker | 6395 N Azalea Ave, San Bernardino, CA 92407 | 2019-09-06 |
| 1528616034 | Patricia Esmeralda Moreno | Social Worker | 621 Carnegie Dr Ste 140, San Bernardino, CA 92408-3515 | 2019-08-28 |
| 1326518168 | Katherine Clair Tristan Lcsw PC | Social Worker | 255 N D St Ste 220, San Bernardino, CA 92401-1713 | 2018-12-04 |
| 1508368044 | Everett Andy James | Social Worker | 1845 Business Center Drive Suite 208, San Bernardino, CA 92408 | 2018-03-01 |
| 1588173496 | Christina Dillon | Social Worker | 412 W Hospitality Ln Fl 1, San Bernardino, CA 92415-0913 | 2017-09-22 |
| 1255754263 | Jules E Beuck | Social Worker | 3288 Little Mountain Dr Apt A, San Bernardino, CA 92405-0912 | 2014-01-27 |
| 1629405345 | Terrence John Forrester | Social Worker | 1455 E. 3rd St, San Bernardino, CA 92410 | 2013-09-27 |
| 1104170364 | Eric William Ewell | Social Worker | 6724 Coleen Ln, San Bernardino, CA 92407-1916 | 2012-11-08 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92401 |
Please comment or provide details below to improve the information on YOUTHS' HOPE LICENSED CLINICAL SOCIAL WORKER INC.
| 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.