CHARISSA NICOLE WHALEY (NPI# 1912330309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912330309 |
| Entity Type | Individual |
| Full Name | CHARISSA NICOLE WHALEY |
| Practice Address |
555 E Valley Pkwy Escondido CA 92025 |
| Mailing Address |
555 E Valley Pkwy Escondido CA 92025-3048 |
| Practice Telephone | 7607393240 |
| Practice Fax Number | 7607393233 |
| Mailing Telephone | 7607393240 |
| Mailing Fax Number | 7607393233 |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2019-05-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 67075 | CA | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
82607 | CA | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
ASW67075 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 900 E Gilbert St, San Bernardino, CA 924150911 | 9093877006 | 9093877611 |
| Street Address |
555 E VALLEY PKWY |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932100856 | Michael Nussbaum | Anesthesiology | 555 E Valley Pkwy, Escondido, CA 92025-3048 | 2005-08-02 |
| 1013551126 | Janine Greeno Loescher | Dietitian, Registered | 555 E Valley Pkwy, Escondido, CA 92025-3048 | 2019-10-31 |
| 1285199091 | Diana Foust | Nurse Practitioner | 555 E Valley Pkwy, Escondido, CA 92025-3048 | 2019-02-06 |
| 1871091595 | Angel Chang Md, Inc. | Physical Medicine & Rehabilitation | 555 E Valley Pkwy, Escondido, CA 92025-3048 | 2018-01-28 |
| 1497100499 | Cep America - Psychiatry PC | Psychiatry & Neurology | 555 E Valley Pkwy, Escondido, CA 92025-3048 | 2016-04-27 |
| 1013391036 | Vista Community Clinic | General Acute Care Hospital | 555 E Valley Pkwy, Escondido, CA 92025-3048 | 2015-07-20 |
| 1306224332 | Post-acute Physicians of California PC | Physical Medicine & Rehabilitation | 555 E Valley Pkwy, Escondido, CA 92025-3048 | 2015-05-11 |
| 1841531704 | Galen Inpatient Physicians Inc | Internal Medicine | 555 E Valley Pkwy, Escondido, CA 92025-3048 | 2013-03-01 |
| 1538409602 | Cep America - California | Emergency Medicine | 555 E Valley Pkwy, Escondido, CA 92025-3048 | 2013-02-26 |
| 1841541760 | San Diego Diagnostic Radiology Medical Group, Inc. | Radiology | 555 E Valley Pkwy, Escondido, CA 92025-3048 | 2012-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
| 1801449640 | Jennifer Marsh | Marriage & Family Therapist | 403 N Escondido Blvd #533, Escondido, CA 92025 | 2019-07-21 |
| 1093281644 | Lucy Breen | Peer Specialist | 474 Weest Vermont Ave #104, Escondido, CA 92025 | 2018-10-22 |
| 1457834665 | Daniel & Max | Optometrist | 730 N Center City Parkway, Building A-1, Suite 101, Escondido, CA 92025 | 2018-09-13 |
| 1477033272 | Hyoshin Kwak | Acupuncturist | 106 S. Grape St, Suite 10, Escondido, CA 92025 | 2018-08-21 |
| 1467948877 | Irma P Garcia | Counselor | 337 West Mission Ave, Escondido, CA 92025 | 2018-07-09 |
| 1295235380 | Anna M. Rainville | Marriage & Family Therapist | 11701 San Pasqual Valley Rd, Escondido, CA 92025 | 2018-02-15 |
| 1689187049 | Monica Pino | Occupational Therapist | 469 E Grand Avenue, Escondido, CA 92025 | 2017-11-08 |
| 1427569581 | Mtk Primary Care Medical Group | Specialist | 1835a S Centre City Pkwy Ste 459, Escondido, CA 92025 | 2017-10-17 |
| 1619490349 | Elizabeth Sanchez Arvizu | Student in an Organized Health Care Education/Training Program | 490 N. Grape Stret, Escondido, CA 92025 | 2017-07-25 |
| Find all providers in zip 92025 | ||||
| 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 |
|---|---|---|---|---|
| 1467080010 | Wisdom Michelle Thompson | Social Worker | 1820 S Escondido Blvd, Escondido, CA 92025-6524 | 2020-03-30 |
| 1225660178 | Inpsych Center, A Licensed Clinical Social Worker Corporation | Social Worker | 127 E 3rd Ave Ste 201, Escondido, CA 92025-4248 | 2020-02-09 |
| 1326585043 | Linn Nimietz | Social Worker | 861 Huckleberry Ln, Escondido, CA 92025-7908 | 2017-01-20 |
| 1447796453 | Alyson Bifano | Social Worker | 772 Quiet Hills Farm Rd, Escondido, CA 92029-7308 | 2017-01-13 |
| 1194187385 | Judy Johnson | Social Worker | 20012 Lake Dr, Escondido, CA 92029-7026 | 2016-03-25 |
| 1891116513 | Lisa Thurston | Social Worker | 19642 4th Pl, Escondido, CA 92029-7612 | 2013-12-23 |
| 1881943405 | Jamillah Walidah Pargo-thompson | Social Worker | 28528 Gladstone Ct, Escondido, CA 92026-6820 | 2012-08-29 |
| 1790033710 | Jillian Christina Graham | Social Worker | 333 S Juniper St Ste 116, Escondido, CA 92025-4924 | 2012-08-22 |
| 1245529254 | Jazmin Jackson | Social Worker | 2445 La Serena, Escondido, CA 92025-7711 | 2011-03-30 |
| 1518277987 | Maryam Delsen | Social Worker | 1029 N. Broadway Ave., Escondido, CA 92026 | 2010-10-19 |
| Find all providers in ESCONDIDO | ||||
Please comment or provide details below to improve the information on CHARISSA NICOLE WHALEY.
| 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.