SAMANTHA MICHELE JACQUIN (NPI# 1841846953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841846953 |
| Entity Type | Individual |
| Full Name | SAMANTHA MICHELE JACQUIN |
| Credential | LCSW |
| Practice Address |
10920 Baird Ave Northridge CA 91326-2406 |
| Practice Telephone | 8184456236 |
| Mailing Telephone | 8184556236 |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2019-08-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
89665 | CA | Behavioral Health & Social Service Providers |
| Street Address |
10920 BAIRD AVE |
| City | NORTHRIDGE |
| State | CA |
| Zip Code | 91326-2406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386172989 | Carrie Jain | Speech-Language Pathologist | 20341 Livorno Way, Porter Ranch, CA 91326 | 2017-05-25 |
| 1932583143 | Karyn L Delichte | Student in an Organized Health Care Education/Training Program | 20280 Sorrento Lane, Unit 203, Porter Ranch, CA 91326 | 2015-07-17 |
| 1104239995 | Fadia Zaky Shehata | Anesthesiology | 19012 Vist Grande Wy, Porterranch, CA 91326 | 2014-06-09 |
| 1992058291 | Beverly Hills Anesthesia Group, LLC | Anesthesiology | 11177 Tampa Ave, Suite B, Northridge, CA 91326 | 2012-10-24 |
| 1922386416 | Estela Hauser | Physician Assistant | 19950 Rinaldi Street, Suite 100, Northridge, CA 91326 | 2011-08-01 |
| 1528351459 | Alina Katsman | Family Medicine | 19950 Rinaldi St., Ste 300, Porter Ranch, CA 91326 | 2011-05-25 |
| 1073811899 | Terry M. Mcelroy Inc. | Nurse Anesthetist, Certified Registered | 11931 Eddleston Dr., Northridge, CA 91326 | 2011-03-02 |
| 1265664304 | Karine Yeghoyan | Internal Medicine | 11200 Corbin Street, 200, Porter Ranch, CA 91326 | 2009-08-21 |
| 1609003276 | Pacific Pharmacy Group | Pharmacy | 19550 Rinaldi Street, Suite 102, Northridge, CA 91326 | 2009-06-22 |
| 1558505321 | David Dae-young Kim | Internal Medicine | 19950 Rinaldi St, Suite 310, Port Ranch, CA 91326 | 2009-04-24 |
| Find all providers in zip 91326 | ||||
| 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 |
|---|---|---|---|---|
| 1730788282 | Fatima Billoo | Social Worker | 18928 Lassen St, Northridge, CA 91324-1835 | 2020-10-25 |
| 1003392465 | Sandra Nayeli Montelongo Sevilla | Social Worker | 19100 Parthenia St, Northridge, CA 91324-3664 | 2018-07-18 |
| 1538679790 | Evelyn Coyoy | Social Worker | 19100 Parthenia St Apt 1, Northridge, CA 91324-3661 | 2017-10-02 |
| 1427577659 | Beautiful Life Services, Licensed Clinical Social Worker Inc. | Social Worker | 9700 Reseda Blvd # 203, Northridge, CA 91324-2025 | 2017-09-19 |
| 1518347848 | Yuki Tanaka | Social Worker | 8724 Etiwanda Ave Apt 108, Northridge, CA 91325-5102 | 2015-06-02 |
| 1235520305 | Gema Bautista | Social Worker | 8550 Balboa Blvd Ste 216, Northridge, CA 91325 | 2015-02-11 |
| 1265664569 | Misty Lorraine Farber | Social Worker | 19849 Norhoff Street, Northridge, CA 91324 | 2009-08-20 |
| 1174776249 | Christine Lani Johnson | Social Worker | 8949 Reseda Blvd Ste 221, Northridge, CA 91324-5813 | 2008-11-03 |
| 1992962385 | Lorena Hernandez | Social Worker | 19227 Index St, #1, Northridge, CA 91326-3712 | 2008-05-22 |
| 1346412350 | Mary Epstein Bray | Social Worker | 9425 White Oak Ave, Northridge, CA 91325-2337 | 2008-03-31 |
| Find all providers in NORTHRIDGE | ||||
| City | NORTHRIDGE |
| Zip Code | 91326 |
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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.