ELDA (NPI# 1861090086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861090086 |
| Entity Type | Organization |
| Organization Name | ELDA |
| Practice Address |
2334 Buchanan Rd Ste 2356 Antioch CA 94509-4411 |
| Mailing Address |
4400 Glen Canyon Cir Pittsburg CA 94565-6458 |
| Practice Telephone | 9254368766 |
| Mailing Telephone | 5107591320 |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2020-10-09 |
| Authorized Official Name | MR. JONTA LARON DAVENPORT (CEO) |
| Authorized Official Telephone | 5107591320 |
| Authorized Official Credential | LAADAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| ELDA | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | ELDA CAB CORP. | 45-16 Vernon Blvd, Long Island Ctiy, Ny 11101 |
| New York State Corporations | ELDA CASH SOLUTIONS LLC | 1967 Wehrle Drive, Suite 1 #086, Buffalo, Ny 14221 |
| Indiana Business Entities | ELDA CORPORATION | 2013 Mounds Road, P. O.box 2513, Anderson, IN 46018 |
| Colorado Business Entities | ELDA ENTERPRISES, INC | 15806 E 8th Drive, Aurora, CO 80011 |
| Washington State Corporations | ELDA HOLDING LLC | 2373 Nw 43rd Ave, Camas, WA 98607-9184 |
| Virginia Business Entities | Elda Inc. | 3421 Cedar Crest Ln, Fairfax, Virginia 22033 |
| Washington State Corporations | ELDA INVESTMENTS, LLC | C/o F-l Management, Inc., 1505 Ne Village Street, Fairview, OR 97024 |
| Colorado Liquor Licenses | ELDA LIQUORS | 9676 East Arapahoe Road, Suite B, Greenwood Village, CO 80112 |
| Colorado Business Entities | Elda Liquors LLC | 950 S Cinarron Way, Apt K302, Aurora, CO 80012 |
| Indiana Business Entities | ELDA LOPEZ LLC | 960 Delbrick Ln, Indianapolis, IN 46229 |
| Street Address |
2334 BUCHANAN RD STE 2356 |
| City | ANTIOCH |
| State | CA |
| Zip Code | 94509-4411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733243 | A Step Above, LLC | Clinic/Center | 3648 Delta Fair Blvd., Antioch, CA 94509 | 2020-02-25 |
| 1134751167 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 3600 Delta Fair Blvd, Antioch, CA 94509 | 2020-02-07 |
| 1962040865 | Melay Goitom | Behavioral Analyst | 3104 Delta Fair Boulevard, Antioch, CA 94509 | 2019-12-11 |
| 1518525062 | James Joseph Cook | Counselor | 624 W. 14th Street B, Antioch, CA 94509 | 2019-05-30 |
| 1922576438 | Wazma Matiee | Behavioral Analyst | 2009 Asilomar Dr., Antioch, CA 94509 | 2018-11-02 |
| 1346722360 | Dharma Rachelle Yancy | Behavioral Analyst | 3401 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
| 1912489931 | Cristian Cruz | Behavioral Analyst | 3100-3104 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
| 1780174052 | Melissa Sue Rossi | Counselor | 3701 Lone Tree Way Ste 7a, Antioch, CA 94509 | 2018-05-13 |
| 1033638085 | Elizabeth Marie Artola | Counselor | 1915 D Street, Antioch, CA 94509 | 2017-09-11 |
| 1144748690 | Andrea Michelle Newberry | Counselor | 55 E.18th St, Antioch, CA 94509 | 2017-09-05 |
| Find all providers in zip 94509 | ||||
| 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 |
|---|---|---|---|---|
| 1588278170 | Esmeralda Alcala Okendo | Social Worker | 4413 Palisades Way, Antioch, CA 94531-8228 | 2020-09-01 |
| 1821612102 | Nicholas Piccard | Social Worker | 1198 Bayshore Dr, Antioch, IL 60002-1468 | 2020-06-03 |
| 1114346582 | Malikea Walker | Social Worker | 2609 Forty Niner Way, Antioch, CA 94531-8001 | 2014-04-14 |
| 1518214378 | Maxine Perrier-morris | Social Worker | 4545 Delta Fair Blvd, Antioch, CA 94509-3950 | 2012-08-12 |
| 1912252016 | Anna Midgett Snyder | Social Worker | 2311 Hobson Pike, Antioch, TN 37013-1110 | 2012-07-16 |
| 1194016139 | Dolores Lynal Williams | Social Worker | 5179 Lone Tree Way, Suite 509, Antioch, CA 94531-8689 | 2011-04-26 |
| 1700110657 | Queen Adu-poku | Social Worker | 2810 Lone Tree Way Ste 9, Antioch, CA 94509-4956 | 2009-09-24 |
| 1437348331 | Carrie Lee Frazier | Social Worker | 301 W. 10th Street, Suite #24, Antioch, CA 94509 | 2007-10-17 |
| 1194847269 | Veronica Leigh Baines | Social Worker | 3432 Hillcrest Ave Ste 175, Antioch, CA 94531-6343 | 2007-04-06 |
| 1962520601 | Cynthia Maria Marzette | Social Worker | 800 Main St Ste 210, Antioch, IL 60002-1578 | 2007-03-27 |
| Find all providers in ANTIOCH | ||||
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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.