MR. DEREK JAMES BALDRIDGE (NPI# 1841548948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841548948 |
| Entity Type | Individual |
| Full Name | MR. DEREK JAMES BALDRIDGE |
| Credential | LCSW |
| Practice Address |
1522 E 102nd St Los Angeles CA 90002-3338 |
| Practice Telephone | 2133855100 |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | 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 |
LCSW79801 | CA | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 850 E Wardlow Rd, Long Beach, CA 908074628 | 5629819392 | 5629812622 |
| Street Address |
1522 E 102ND ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90002-3338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720281439 | Maxine Elois Liggins | Internal Medicine | 1522 E 102nd St, Room 142, Los Angeles, CA 90002-3338 | 2007-06-08 |
| 1144702564 | Lea Marie Tanasale | Student in an Organized Health Care Education/Training Program | 1522 E 102nd St, Los Angeles, CA 90002-3338 | 2018-08-31 |
| 1285113696 | Rosemarie Garcia | Marriage & Family Therapist | 1522 E 102nd St, Los Angeles, CA 90002-3338 | 2018-08-08 |
| 1689171100 | Robin Elaine Leach | Case Manager/Care Coordinator | 1522 E 102nd St, Los Angeles, CA 90002-3338 | 2018-04-11 |
| 1285131805 | Raquel Joan Parker | Case Manager/Care Coordinator | 1522 E 102nd St, Los Angeles, CA 90002-3338 | 2018-04-10 |
| 1801393426 | Ana Lucia Paz | Case Manager/Care Coordinator | 1522 E 102nd St, Los Angeles, CA 90002-3338 | 2018-04-10 |
| 1376040998 | Jennifer Cristina Aquino | Case Manager/Care Coordinator | 1522 E 102nd St, Los Angeles, CA 90002-3338 | 2018-04-10 |
| 1629575600 | Amy Marie Cornwall | Marriage & Family Therapist | 1522 E 102nd St, Los Angeles, CA 90002-3338 | 2018-04-06 |
| 1578076204 | Lucia Isabel Johnson | Marriage & Family Therapist | 1522 E 102nd St, Los Angeles, CA 90002-3338 | 2017-11-16 |
| 1245742915 | Gustavo Reyes | Case Manager/Care Coordinator | 1522 E 102nd St, Los Angeles, CA 90002-3338 | 2017-11-02 |
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| 1790336253 | Ernest Durden | Technician | 10321 Standford Avenue, Los Angeles, CA 90002 | 2019-09-26 |
| 1114573920 | Sahawneh Dental Corporation | Dentist | 9851 South Alameda, Unit A, Los Angeles, CA 90002 | 2019-08-16 |
| 1003373549 | Bridget Benninger | Marriage & Family Therapist | 10044 Compton Ave., Los Angeles, CA 90002 | 2019-02-20 |
| 1669954400 | Lorena Fajardo | Case Manager/Care Coordinator | 1776 E Century Bolvd, Los Angeles, CA 90002 | 2018-08-29 |
| 1467963256 | Special Service for Groups, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2178 Firestone Blvd, Los Angeles, CA 90002 | 2017-10-19 |
| 1699294991 | Priscilla Morales | Marriage & Family Therapist | 10221 Compton Ave Ste 104&203, Los Angeles, CA 90002 | 2017-09-18 |
| 1649795246 | Tara Moore | Counselor | 1968 East 103rd Street, Los Angeles, CA 90002 | 2017-08-04 |
| 1689198673 | Yeny Alexandra Guarin | Social Worker | 1776 East Century Blvd, Los Angeles, CA 90002 | 2017-08-01 |
| 1144771452 | Paulette Madrigal | Case Manager/Care Coordinator | 10044 Compton Ave, Los Angeles, CA 90002 | 2016-10-21 |
| 1134675853 | Jong Cho | Pharmacist | 1645 E. 103rd St, La, CA 90002 | 2016-09-01 |
| Find all providers in zip 90002 | ||||
| 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] |
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|---|---|---|---|---|
| 1841899549 | Callie Lind Klebanoff | Social Worker | 3162 Glenmanor Pl, Los Angeles, CA 90039-1713 | 2020-10-22 |
| 1215534060 | Arianna Armstrong | Social Worker | 1417 Wildwood Dr, Los Angeles, CA 90041-3130 | 2020-10-05 |
| 1518572932 | Jamila Leander | Social Worker | 1055 Wilshire Blvd Ste 1955, Los Angeles, CA 90017-5602 | 2020-09-11 |
| 1700491529 | Danesha Jamerson | Social Worker | 4184 3rd Ave, Los Angeles, CA 90008-4043 | 2020-09-09 |
| 1427663384 | Samantha Erin Stepleton | Social Worker | 3201 S Barrington Ave Apt E, Los Angeles, CA 90066-1139 | 2020-09-08 |
| 1821601345 | Kei Nguyen | Social Worker | 3035 Ingledale Ter, Los Angeles, CA 90039-1719 | 2020-08-25 |
| 1659984292 | Bina Zargari | Social Worker | 1129 S Holt Ave, Los Angeles, CA 90035-2405 | 2020-08-24 |
| 1275144685 | Jessica Lindsay Sotelo | Social Worker | 1530 N Poinsettia Pl Apt 241, Los Angeles, CA 90046-7915 | 2020-08-11 |
| 1982212155 | Alexandra Gubin | Social Worker | Ucla, 757 Westwood Medical Plaza, Los Angeles, CA 90095 | 2020-07-14 |
| 1811513187 | Rafael C. Angulo | Social Worker | 315 S Virgil Ave Apt 103, Los Angeles, CA 90020-1300 | 2020-06-22 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90002 |
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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.