MS. MALISSA BLAKE KONNER (NPI# 1790089845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790089845 |
| Entity Type | Individual |
| Full Name | MS. MALISSA BLAKE KONNER |
| Credential | MSW |
| Practice Address |
2221 Martin Luther King Jr Way Oakland CA 94612-1318 |
| Practice Telephone | 8003828387 |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2011-01-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Street Address |
2221 MARTIN LUTHER KING JR WAY |
| City | OAKLAND |
| State | CA |
| Zip Code | 94612-1318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710960521 | Erica Lynn Trimble | Nurse Practitioner | 2221 Martin Luther King Jr Way, Oakland, CA 94612-1318 | 2005-11-25 |
| 1083237218 | Lyda Hartness | Social Worker | 2221 Martin Luther King Jr Way, Oakland, CA 94612-1318 | 2020-05-21 |
| 1801453873 | Timothy Tran | Dietitian, Registered | 2221 Martin Luther King Jr Way, Oakland, CA 94612-1318 | 2019-05-23 |
| 1013574623 | Julianne Rebecca Yujen Lee | Pharmacist | 2221 Martin Luther King Jr Way, Oakland, CA 94612-1318 | 2019-05-20 |
| 1295255362 | Blanca Marquez | Social Worker | 2221 Martin Luther King Jr Way, Oakland, CA 94612-1318 | 2017-06-21 |
| 1326429770 | Amber Colic | Nurse Practitioner | 2221 Martin Luther King Jr Way, Oakland, CA 94612-1318 | 2015-06-11 |
| 1548669609 | Mary Cradick | Pharmacist | 2221 Martin Luther King Jr Way, Oakland, CA 94612-1318 | 2014-08-14 |
| 1043473754 | Jill Nicole Jones | Physical Therapist | 2221 Martin Luther King Jr Way, Oakland, CA 94612-1318 | 2008-07-03 |
| 1770745093 | Alix A. Magloire | Internal Medicine | 2221 Martin Luther King Jr Way, Department of Veterans Affairs 111/oak, Oakland, CA 94612-1318 | 2008-06-27 |
| 1740489798 | Mary Rose Lazo Fabi | Internal Medicine | 2221 Martin Luther King Jr Way, Oakland, CA 94612-1318 | 2007-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766284 | Olivia Vega | Behavior Technician | 155 Grand Ave Suite 500, Oakland, CA 94612 | 2020-09-25 |
| 1700418001 | Thera Share | Counselor | 1714 Franklin St #411, Oakland, CA 94612 | 2020-02-05 |
| 1386284644 | Nicole Yolanda Satterfield | Behavioral Analyst | 180 Grand, Oakland, CA 94612 | 2020-01-14 |
| 1992365514 | Integrative Fertility | Acupuncturist | 449 15th St, #101, Oakland, CA 94612 | 2019-06-17 |
| 1578029500 | Emma Noble | Hearing Instrument Specialist | 2201 Broadway Ste 328, Oakland, CA 94612 | 2019-02-14 |
| 1992299143 | Lutchmia Lizonia Engelbrecht | Community Health Worker | 160 14th St Apt 501, Oakland, CA 94612 | 2018-06-20 |
| 1417446444 | Ruth L Richards | Psychiatry & Neurology | 475 Fourteenth St, Ninth Floor, Oakland, CA 94612 | 2018-05-04 |
| 1033618384 | Thomas Plumber | Case Manager/Care Coordinator | 1389 Jefferson St Oakland California Apt D210, Oakland, CA 94612 | 2018-02-01 |
| 1992221774 | Victoria Davina Casillas | Counselor | 559 16th Street, Oakland, CA 94612 | 2017-08-14 |
| 1356864854 | Mackenzie Sodestrom | Marriage & Family Therapist | 287 17th St Ste 205, Oakland, CA 94612 | 2017-07-17 |
| Find all providers in zip 94612 | ||||
| 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 |
|---|---|---|---|---|
| 1255947958 | Diep Le | Social Worker | 991 39th St Apt B, Oakland, CA 94608-3899 | 2020-09-17 |
| 1518440429 | Shannon Mikeal Carroll | Social Worker | 2640 International Blvd, Oakland, CA 94601-1512 | 2018-09-07 |
| 1467828491 | Caitlin Pugh | Social Worker | 386 14th Street, Oakland, CA 94612 | 2015-08-13 |
| 1053704460 | Ralecia Christina Marks | Social Worker | 5440 Ygnacio Ave, Oakland, CA 94601-5538 | 2015-03-09 |
| 1649668856 | Steven Zhu | Social Worker | 3477 Boston Ave, Oakland, CA 94602-2931 | 2014-12-23 |
| 1023419322 | Janine Moa | Social Worker | 4087 Lincoln Ave, Oakland, CA 94602-2429 | 2014-09-06 |
| 1861805772 | Maimunat Talatu Suleman | Social Worker | 1955 San Pablo Avenue, Oakland, CA 94612 | 2014-06-09 |
| 1386071934 | Stanton Edgar Richardson Jr. | Social Worker | 2116 Broadway Street, Oakland, CA 94612 | 2013-09-27 |
| 1669806287 | Norma Raye Ward | Social Worker | 2116 Broadway Ave, Oakland, CA 94612 | 2013-08-30 |
| 1568803484 | Catherine Rose Morelix | Social Worker | 412 E 19th St Apt 3, Oakland, CA 94606-1830 | 2013-07-08 |
| Find all providers in OAKLAND | ||||
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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.