BETHANY BASINGER COBURN (NPI# 1912565524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912565524 |
| Entity Type | Individual |
| Full Name | BETHANY BASINGER COBURN |
| Credential | LCSW |
| Practice Address |
1627 Oak Ave Ste C Davis CA 95616-1072 |
| Mailing Address |
2114 Pollock Ct Davis CA 95618-7620 |
| Practice Telephone | 7736789975 |
| Mailing Telephone | 7736789975 |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2019-05-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
61298 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679730311 | Bethany D Coburn | Massage Therapist | 11517 Hannett Ave Ne, Albuquerque, NM 87112-4413 | 2008-05-20 |
| Street Address |
1627 OAK AVE STE C |
| City | DAVIS |
| State | CA |
| Zip Code | 95616-1072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477846186 | Christine L. Ellis | Social Worker | 1627 Oak Ave Ste C, Davis, CA 95616-1072 | 2011-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560871 | Anne-frances Ostrander | Physical Therapy Assistant | 397 La Rue Rd, Davis, CA 95616 | 2020-08-26 |
| 1487271458 | Alix Peloso Mahon | Behavior Technician | 1212 Alvarado Ave Apt 68, Davis, CA 95616 | 2020-06-25 |
| 1427671882 | Dhhs Ihs Cao Sacred Oaks Healing Center | Substance Abuse Rehabilitation Facility | 33100 County Road 31, Davis, CA 95616 | 2020-05-20 |
| 1871126961 | Linda Marie Adams | Dietitian, Registered | Uc Davis Occupational Health, One Shields Ave - Cowell Hall Room 35, Davis, CA 95616 | 2020-02-17 |
| 1851935217 | Timothy James Johnston | Orthotist | 635 Anderson Rd., Suite 18, Davis, CA 95616 | 2019-10-29 |
| 1386290716 | Dakota Cool | Specialist/Technologist | 750 Orchard Road, Davis, CA 95616 | 2019-08-12 |
| 1366908618 | Capitol Periodontal Group | Dentist | 750 F Street #5, Davis, CA 95616 | 2019-02-12 |
| 1831663434 | Elisha Niccole Cusumano | Specialist/Technologist | 264 Hickey Gym, 1 Shields Ave, Davis, CA 95616 | 2019-01-16 |
| 1609364991 | Aron Matthew Katz | Psychologist | One Shield Ave, Student Health & Wellness Center, Bhp, Davis, CA 95616 | 2018-04-23 |
| 1316463938 | Arielle Pinkston | Marriage & Family Therapist | 203 F St, Davis, CA 95616 | 2017-08-15 |
| Find all providers in zip 95616 | ||||
| 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 |
|---|---|---|---|---|
| 1568013332 | Maria Pilar Alonso Nunez | Social Worker | 2707 Henri Ct, Davis, CA 95618 | 2019-09-24 |
| 1891343877 | Elizabeth Johnston | Social Worker | 83 Delburne Dr, Davis, IL 61019-9514 | 2019-09-03 |
| 1215471321 | Danielle Bier, Lcsw | Social Worker | 1712 Picasso Ave Ste A, Davis, CA 95618-0546 | 2016-12-07 |
| 1477007276 | Jennifer Lee Cacciatore | Social Worker | 1982 Southgate Dr, Davis, IL 61019-9407 | 2016-08-09 |
| 1801268719 | Estepha Francisque | Social Worker | 129 C St Ste 7, Davis, CA 95616-4588 | 2015-10-30 |
| 1699158188 | Uta Russell | Social Worker | 732 Third Street, Suite A, Davis, CA 95616 | 2015-07-02 |
| 1295115319 | Lawrence Shweky | Social Worker | 2043 Picasso Ave, Davis, CA 95618-0505 | 2015-06-03 |
| 1700188547 | Joseph Eli Friedman | Social Worker | 4141 Cowell Blvd, Apt # 5, Davis, CA 95618-4313 | 2010-11-30 |
| 1972817849 | Hillary Caron Alejo | Social Worker | 3119 Evening Bay Pl, Davis, CA 95616-2717 | 2010-08-03 |
| 1720221591 | Gail Marie Nelsen | Social Worker | 212 Grande Ave, Davis, CA 95616-0222 | 2009-04-09 |
| Find all providers in DAVIS | ||||
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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.