MR. SEAN DANIEL MARMOLEJO (NPI# 1801336656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801336656 |
| Entity Type | Individual |
| Full Name | MR. SEAN DANIEL MARMOLEJO |
| Credential | LCSW |
| Practice Address |
1600 Lake Shore Dr Apt 611 Waco TX 76708-3701 |
| Mailing Address |
907 S Avenue M Clifton TX 76634-2331 |
| Practice Telephone | 2547186173 |
| Mailing Telephone | 2547186173 |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2019-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | 62553 | TX | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
62553 | TX | Behavioral Health & Social Service Providers |
| Street Address |
1600 LAKE SHORE DR APT 611 |
| City | WACO |
| State | TX |
| Zip Code | 76708-3701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144868613 | Sarah Bogacz | Behavior Technician | 6824 Logue Lane, Bluesprig Pediatrics, Waco, TX 76708 | 2019-12-16 |
| 1700358215 | Albert Jacob Puente | Specialist/Technologist | 1101 North Q Ave, Clifton, TX 76708 | 2018-12-21 |
| 1437414810 | Cenikor Foundation | Substance Abuse Rehabilitation Facility | 3015 Herring Avenue, Waco, TX 76708 | 2012-07-11 |
| 1922393610 | Betty Hendricks | Nurse Practitioner | 4601 N 19th Street, Waco, TX 76708 | 2011-06-10 |
| 1023239498 | Esc Iv, Lp | Assisted Living Facility | 3801 Martin Luther King Jr Bvd, Waco, TX 76708 | 2007-05-01 |
| 1952429367 | Dod David Moore | Dentist | 10104 Saddle Creek Rd, Waco, TX 76708 | 2007-03-26 |
| 1851400295 | H-e-b, Lp | Clinical Medical Laboratory | 3801 N 19th St, Waco, TX 76708 | 2006-08-30 |
| 1972527257 | Meryl Burchardt | Nurse Practitioner | 2201 Macarthur, Suite 2200, Waco, TX 76708 | 2006-07-27 |
| 1669493292 | Central Texas Anesthesiology Associates Inc | Anesthesiology | 3000 Herring, Waco, TX 76708 | 2006-07-21 |
| 1679507768 | Russell L Mcclellan | Radiology | 3000 Herring Avenue, Waco, TX 76708 | 2006-07-11 |
| Find all providers in zip 76708 | ||||
| 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 |
|---|---|---|---|---|
| 1750935110 | Humberto Xavier Reveles | Social Worker | 345 Owen Ln Ste 102, Waco, TX 76710-5583 | 2019-07-24 |
| 1649831298 | Melanie Adams | Social Worker | 3617 Maple Ave, Waco, TX 76707-1117 | 2019-06-25 |
| 1093371809 | Lauren E Repa | Social Worker | 120 Hillcrest Medical Blvd Ste 300, Waco, TX 76712-8951 | 2019-05-16 |
| 1811551047 | Catherine Capp-hays | Social Worker | 209 Old Hewitt Rd Ste 3, Waco, TX 76712-6599 | 2019-04-23 |
| 1598225252 | Jaja Chen | Social Worker | 613 Austin Ave Apt E-2, Waco, TX 76701-2062 | 2019-03-20 |
| 1144793266 | Dina Fell | Social Worker | 110 S 12th St # T, Waco, TX 76701-1810 | 2019-01-11 |
| 1225547532 | Sharon Denise Miles | Social Worker | 4603 Lexington St., Waco, TX 76705 | 2017-09-29 |
| 1225550296 | Abigale O'reilly | Social Worker | 9101 Pantherway, Waco, TX 76712-8614 | 2017-07-12 |
| 1275072480 | Kattina Bryant | Social Worker | 10709 Burnham Dr, Waco, TX 76708-2139 | 2017-02-21 |
| 1538602834 | Ntiense Covey | Social Worker | 200 W State Highway 6 Ste 217, Waco, TX 76712-3975 | 2016-11-18 |
| Find all providers in WACO | ||||
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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.