COMMUNITY ACTION MARIN (NPI# 1922134402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922134402 |
| Entity Type | Organization |
| Organization Name | COMMUNITY ACTION MARIN |
| Other Organization Name | ENTERPRISE RESOURCE CENTER |
| Practice Address |
3270 Kerner Blvd Building A, Suite C San Rafael CA 94901-4840 |
| Mailing Address |
555 Northgate Drive #201 Second Floor San Rafael CA 94903-3507 |
| Practice Telephone | 4154574554 |
| Practice Fax Number | 4157212231 |
| Mailing Telephone | 4155267514 |
| Mailing Fax Number | 4154579677 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2019-10-26 |
| Authorized Official Name | DENISE DRESSLER (MENTAL HEALTH FISCAL ADMINISTRATOR) |
| Authorized Official Telephone | 4154851489 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| Other Name | Type Code |
|---|---|
| Enterprise Resource Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912431271 | Community Action Marin | Counselor | 3207 Kerner Boulebvard, San Rafael, CA 94901-3507 | 2017-04-13 |
| 1285823617 | Community Action Marin | Contractor | 555 Northgate Dr Ste 201, San Rafael, CA 94903-3696 | 2007-10-22 |
| 1437286879 | Community Action Marin | Case Management | 555 Northgate Blvd., Suite 201, San Rafael, CA 94903 | 2007-02-27 |
| 1730613324 | Community Action Marin | Counselor | 3270 Kerner Blvd, San Rafael, CA 94901-4840 | 2017-04-20 |
| 1952568347 | Community Action Marin | Counselor | 3230 Kerner Blvd, San Rafael, CA 94901 | 2008-05-22 |
| 1528195963 | Community Action Marin | Case Management | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2007-02-27 |
| 1346377785 | Community Action Marin | Case Management | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2007-02-27 |
| 1629104112 | Community Action Marin | Case Management | 3270 Kerner Blvd, Building A, Suite C, San Rafael, CA 94901-4840 | 2007-02-26 |
| 1982749685 | Community Action Marin | Case Management | 3270 Kerner Blvd, Building A, San Rafael, CA 94901-4840 | 2007-02-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY ACTION MARIN | 555 Northgate Dr Ste 201, San Rafael, CA 94903-3696 |
| Street Address |
3270 KERNER BLVD BUILDING A, SUITE C |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94901-4840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730108549 | Kristine Y Kwok | Social Worker | 3270 Kerner Blvd, San Rafael, CA 94901-4840 | 2006-07-19 |
| 1124655014 | Nhan Pham | Case Manager/Care Coordinator | 3270 Kerner Blvd, San Rafael, CA 94901-4840 | 2020-03-23 |
| 1609409481 | Maggie M Mclain | Marriage & Family Therapist | 3270 Kerner Blvd, San Rafael, CA 94901-4840 | 2020-02-19 |
| 1588219786 | Scott Casey Berger | Student in an Organized Health Care Education/Training Program | 3270 Kerner Blvd, San Rafael, CA 94901-4840 | 2019-08-05 |
| 1215581368 | Kevin Omar Rodriguez | Student in an Organized Health Care Education/Training Program | 3270 Kerner Blvd, San Rafael, CA 94901-4840 | 2019-07-26 |
| 1821578196 | Carrie Coats | Counselor | 3270 Kerner Blvd, San Rafael, CA 94901 | 2018-08-16 |
| 1659858405 | Veronica Ponce | Rehabilitation Practitioner | 3270 Kerner Blvd, San Rafael, CA 94901-4840 | 2018-07-24 |
| 1730613324 | Community Action Marin | Counselor | 3270 Kerner Blvd, San Rafael, CA 94901-4840 | 2017-04-20 |
| 1619401650 | Sherry Ann Bradley | Counselor | 3270 Kerner Blvd, San Rafael, CA 94901-4840 | 2017-04-17 |
| 1326581422 | Jose Cesar Leiva | Rehabilitation Practitioner | 3270 Kerner Blvd, San Rafael, CA 94901-4840 | 2016-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780207134 | Marianne Haissman Stefancic | Marriage & Family Therapist | 409 Forbes Ave., San Rafael, CA 94901 | 2020-05-20 |
| 1093292765 | Marin Community Clinic | Clinic/Center | 411 4th Strteet, Suite A, San Rafael, CA 94901 | 2018-07-25 |
| 1275052516 | Laura Ellen Silverstein | Marriage & Family Therapist | 600 Fifth Avenue, San Rafael, CA 94901 | 2017-09-19 |
| 1689101107 | Marin Family Recovery | Clinic/Center | 1209 Third St. Ste 4, San Rafael, CA 94901 | 2017-05-15 |
| 1376070011 | Tencia Beavers-sanchez | Counselor | 710 C Street Suite#8, Marin Outpatient&recoveryservices, Sanrafael, CA 94901 | 2017-05-12 |
| 1326584905 | Jamie Waterman | Emergency Medical Technician, Basic | 675 Sir Francis Drake Blvd, Kentfield, CA 94901 | 2017-01-06 |
| 1295270676 | Stephen Marks | Counselor | 900 Fifth Avenue, Suite 150, ; San Rafael, CA 94901 | 2016-12-21 |
| 1497299812 | Vesna Sturman | Psychologist | 712 D St Ste L, San Rafael, CA 94901 | 2016-12-05 |
| 1063955771 | Carol Dutton Hollenberg | Behavior Technician | 503 D St., San Rafael, CA 94901 | 2016-11-29 |
| 1083069447 | Bay Area Community Resources | Community/Behavioral Health | 103 Shoreline Parkway, San Rafael, CA 94901 | 2016-05-04 |
| Find all providers in zip 94901 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811395270 | Nerina M. Cecchin | Case Management | 1368 Lincoln Ave Ste 212, San Rafael, CA 94901-2121 | 2014-12-16 |
| 1568697324 | David Shevick | Case Management | 34 Dolores St, San Rafael, CA 94901-5105 | 2009-05-22 |
| 1710167440 | Marin County Tcm Program | Case Management | 20 N San Pedro Rd Ste 2027, San Rafael, CA 94903-4158 | 2007-11-09 |
| 1437286879 | Community Action Marin | Case Management | 555 Northgate Blvd., Suite 201, San Rafael, CA 94903 | 2007-02-27 |
| 1154466472 | Marin Housing Authority | Case Management | 930 Tamalpais Ave, San Rafael, CA 94901-3325 | 2007-02-21 |
| 1356496897 | Buckelew Programs - Tay | Case Management | 980 Lincoln Ave, Suite 250, San Rafael, CA 94901-8801 | 2007-01-24 |
| 1538599311 | Jewish Family and Children's Services | Case Management | 600 5th Ave, San Rafael, CA 94901-3348 | 2013-11-15 |
| 1497085146 | Buckelew Programs | Case Management | 914 Mission Ave Fl 3, San Rafael, CA 94901-6106 | 2009-12-31 |
| 1831369560 | Buckelew Programs | Case Management | 914 Mission Ave, San Rafael, CA 94901-6106 | 2008-03-10 |
| 1629104112 | Community Action Marin | Case Management | 3270 Kerner Blvd, Building A, Suite C, San Rafael, CA 94901-4840 | 2007-02-26 |
| Find all providers in SAN RAFAEL | ||||
| City | SAN RAFAEL |
| Zip Code | 94901 |
Please comment or provide details below to improve the information on COMMUNITY ACTION MARIN.
| 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.