JENNY PAK (NPI# 1801119490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801119490 |
| Entity Type | Individual |
| Full Name | JENNY PAK |
| Practice Address |
535 Moreland Way Santa Clara CA 95054-4138 |
| Practice Telephone | 7144028190 |
| Mailing Telephone | 7144028190 |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2010-03-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700320223 | Jenny H. Pak | Psychologist | 180 N. Oakland Ave., Pasadena, CA 91101 | 2016-12-19 |
| Street Address |
535 MORELAND WAY |
| City | SANTA CLARA |
| State | CA |
| Zip Code | 95054-4138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629621552 | Pushpa Bhandari | Behavior Technician | 3170 De Lacruz Blvd, Suite 107, Santa Clara, CA 95054 | 2019-07-19 |
| 1275001679 | Janet Johnston-tyler | Counselor | 4655 Old Ironsides Dr., Suite 170, Santa Clara, CA 95054 | 2018-11-05 |
| 1184106643 | Sunshine Acupuncture & Healthcare | Acupuncturist | 3350 Scott Blvd., #28-2, Santa Clara, CA 95054 | 2018-08-31 |
| 1538654496 | Molly Delaney | Speech-Language Pathologist | 4701 Patrick Henry Dr., Bldg 23 Suite D, Santa Clara, CA 95054 | 2018-06-24 |
| 1255826111 | Jordan Moore | Speech-Language Pathologist | 4701 Patrick Henry Dr., Bldg 23, Suite D, Santa Clara, CA 95054 | 2018-06-24 |
| 1073008934 | Tanya Guerrero | Speech-Language Pathologist | 4701 Patrick Henry Drive., Bldg 23, Suite D, Santa Clara, CA 95054 | 2018-06-24 |
| 1366931305 | Jacqueline Genna | Speech-Language Pathologist | 4701 Patrick Henry Drive, Bldg 23 Suite D, Santa Clara, CA 95054 | 2018-05-04 |
| 1386131886 | Angel Raynetta Stevens | Behavior Technician | 3170 Dela Cruz Blvd., Ste 107, Santa Clara, CA 95054 | 2018-04-19 |
| 1528567468 | Ledia Mati | Chiropractor | 3700 Thomas Rd Ste 207, Santa Clara, CA 95054 | 2018-02-06 |
| 1982133310 | Hien Tue Nguyen | Pharmacist | 3970 Rivermark Plaza, Santa Clara, CA 95054 | 2017-06-08 |
| Find all providers in zip 95054 | ||||
| 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 |
|---|---|---|---|---|
| 1609332501 | Selam Kidane | Social Worker | 777 Lawrence Expy, Santa Clara, CA 95051-5195 | 2019-02-15 |
| 1891268538 | Ayana Lee Paxton | Social Worker | 700 Lawrence Expy # 312, Santa Clara, CA 95051-5173 | 2019-01-05 |
| 1386097608 | Nancy Douglas Colburn | Social Worker | 1680 Civic Center Dr, Suite 230, Santa Clara, CA 95050-4110 | 2016-07-21 |
| 1275988305 | Caitlin Rose Tharaldson | Social Worker | 2711 Santa Clara Drive, Santa Clara, UT 84765 | 2016-04-26 |
| 1447549415 | Katherine Lee Mayeda | Social Worker | 121 Buckingham Dr Unit 30, Santa Clara, CA 95051-6549 | 2011-03-30 |
| 1770885964 | Thomas Victor May | Social Worker | 1400 Bowe Ave, 1508, Santa Clara, CA 95051-3832 | 2010-11-22 |
| 1477703437 | Kristin Marie Maslic | Social Worker | 5255 Stevens Creek Blvd # 257, Santa Clara, CA 95051-6664 | 2008-09-26 |
| 1285771162 | Janet Brown | Social Worker | 3654 Mitchell Dr, Santa Clara, UT 84765-5397 | 2007-01-31 |
| 1568406775 | Maria T Peuse | Social Worker | 900 Lafayette St, 605, Santa Clara, CA 95050-4967 | 2006-06-16 |
| 1790755940 | Patricia M. Rowe | Social Worker | 160 Saratoga Ave, Ste 42, Santa Clara, CA 95051-7334 | 2006-01-23 |
| Find all providers in SANTA CLARA | ||||
| City | SANTA CLARA |
| Zip Code | 95054 |
Please comment or provide details below to improve the information on JENNY PAK.
| 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.