MARY ALICE BOLIN (NPI# 1831608694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831608694 |
| Entity Type | Individual |
| Full Name | MARY ALICE BOLIN |
| Practice Address |
24511 W Jayne Ave Coalinga CA 93210-9503 |
| Mailing Address |
501 W Sierra Ave Apt 145 Fresno CA 93704-1154 |
| Practice Telephone | 5599354300 |
| Mailing Telephone | 5599034932 |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2017-09-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 79414 | CA | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
79414 | CA | Behavioral Health & Social Service Providers |
| Street Address |
24511 W JAYNE AVE |
| City | COALINGA |
| State | CA |
| Zip Code | 93210-9503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598753956 | Jong Yeoung Moon | Internal Medicine | 24511 W Jayne Ave, Coalinga, CA 93210-9503 | 2005-10-11 |
| 1649815580 | Brittany Shaffer | Psychologist | 24511 W Jayne Ave, Coalinga, CA 93210-9503 | 2019-11-14 |
| 1093289860 | David Aitken Jr. | Psychologist | 24511 W Jayne Ave, Coalinga, CA 93210-9503 | 2019-01-15 |
| 1811479173 | Thai-son Nguyen | Pharmacist | 24511 W Jayne Ave, Coalinga, CA 93210-9503 | 2018-09-04 |
| 1740760461 | Jeffrey Jay Davis | Psychologist | 24511 W Jayne Ave, Coalinga, CA 93210-9503 | 2018-08-21 |
| 1114415312 | Alynna Pena | Psychologist | 24511 W Jayne Ave, Coalinga, CA 93210 | 2018-04-24 |
| 1770070922 | Kevin John Miller | Psychologist | 24511 W Jayne Ave, Coalinga, CA 93210-9503 | 2018-04-13 |
| 1366949687 | Destarte Lindaine Good | Counselor | 24511 W Jayne Ave, Coalinga, CA 93210-9503 | 2018-04-12 |
| 1215434543 | Jheanett Portobanco | Psychologist | 24511 W Jayne Ave, Coalinga, CA 93210-9503 | 2018-04-12 |
| 1780181222 | Department of State Hospital Coalinga | Clinic/Center | 24511 W Jayne Ave, Coalinga, CA 93210-9516 | 2018-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427684257 | Corrections and Rehabilitation | Pharmacy | 24863 W. Jayne Avenue, Coalinga, CA 93210 | 2020-03-12 |
| 1710524293 | Harpreet Kaur Badhesha | Registered Nurse | 191 E Polk St, Coalinga, CA 93210 | 2019-12-04 |
| 1669019139 | Avenal Community Health Center | Clinic/Center | 191 E Polk St., Coalinga, CA 93210 | 2019-12-04 |
| 1194218503 | Elizabeth Armstrong | Registered Nurse | 400 W Forest Ave, Appartment # 133, Coalinga, CA 93210 | 2018-06-11 |
| 1003151713 | Porfirio Ramos | Pharmacist | 24511 W. Jayne Avenue, Coalinga State Hospital Pharmacy Department, Coalinga, CA 93210 | 2012-12-06 |
| 1548504251 | Tonya Kay Green | Pharmacist | 265 Forrest Street, Coalinga, CA 93210 | 2012-11-19 |
| 1205105772 | Ratana Yun | Pharmacist | 24863 W. Jayne Ave, Pvsp Pharmacy Department, Coalinga, CA 93210 | 2011-12-29 |
| 1326374166 | Valerie Ann Kelly | Social Worker | 24683 W. Jayne Ave, Coalinga, CA 93210 | 2009-10-29 |
| 1427298850 | Michael Torres Rodriguez I | Counselor | 25863 Jayne Avenue, Coalinga, CA 93210 | 2009-02-25 |
| 1659537819 | Ikumi Hirashima Bisbee | Registered Nurse | 2455 W. Jayne Ave., Coalinga, CA 93210 | 2008-08-06 |
| Find all providers in zip 93210 | ||||
| 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 |
|---|---|---|---|---|
| 1144506924 | Nicolesha Reed | Social Worker | 24863 W Jayne Ave, Coalinga, CA 93210-9502 | 2011-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071460 | Kimberly Ann Tahernia | Social Worker | 155 Wanish Pl, Palm Desert, CA 92260-7319 | 2020-10-22 |
| 1831798594 | Open Minds Sb LLC | Social Worker | 312 Lighthouse Rd, Santa Barbara, CA 93109-1908 | 2020-10-22 |
| 1619576790 | Larry George Hazaert | Social Worker | 9828 Central Avenue, Montclair, CA 91763-2817 | 2020-10-20 |
| 1396343703 | Catya Jeannette Molina | Social Worker | 2000 Hazeltine Dr, Oxnard, CA 93036-6308 | 2020-10-16 |
| 1467050831 | Michael J Samuelson | Social Worker | 23501 Cinema Dr Ste 200&210, Valencia, CA 91355-5428 | 2020-10-16 |
| 1245837004 | Tanya Renee Banks | Social Worker | 2280 Benton Dr # C, Redding, CA 96003-5349 | 2020-10-05 |
| 1669089868 | Kimberly J Hansen Anderson | Social Worker | 12071 Tivoli Park Row Unit 2, San Diego, CA 92128-4385 | 2020-09-30 |
| 1558978338 | Emily J White | Social Worker | 1225 Vienna Dr Spc 292, Sunnyvale, CA 94089-1833 | 2020-09-25 |
| 1255947958 | Diep Le | Social Worker | 991 39th St Apt B, Oakland, CA 94608-3899 | 2020-09-17 |
| 1790399061 | Miyu Rosie Tanabe | Social Worker | 2730 Torrey Pine Dr, Fullerton, CA 92835-2848 | 2020-09-03 |
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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.