MR. JAMES RANDOLPH ELLIOTT (NPI# 1992081103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992081103 |
| Entity Type | Individual |
| Full Name | MR. JAMES RANDOLPH ELLIOTT |
| Other Name | NA NA NA |
| Credential | LCSW |
| Practice Address |
615 Briarwood Ln San Dimas CA 91773-3608 |
| Practice Telephone | 9093056978 |
| Mailing Telephone | 9093056978 |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2011-11-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
25485 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730507815 | James Elliott | Acupuncturist | 1549 S Galena Way Apt 1633, Denver, CO 80247-3137 | 2014-04-04 |
| 1326337767 | James G Elliott Jr. | Contractor | 12713 Lake Wilderness Ln, Spotsylvania, VA 22551-8122 | 2011-04-06 |
| 1598905119 | James Anthony Elliott | Social Worker | 1320 Fenwick Ln Ste 800, Silver Spring, MD 20910-3557 | 2009-02-22 |
| 1902069560 | James W. Elliott | Respiratory Therapist, Registered | 204 Interchange Dr, Fulton, MS 38843-6011 | 2008-07-03 |
| 1033316732 | James Michael Elliott Jr. | Counselor | 2198 Cayuga Ave, San Francisco, CA 94112 | 2007-06-27 |
| 1336340959 | James D Elliott | Dentist | 603 W Green St, Winterset, IA 50273-1641 | 2007-05-30 |
| 1548304132 | James E Elliott | Dentist | 10 S Belvedere Blvd, Suite B, Memphis, TN 38104-3706 | 2007-02-16 |
| 1174688097 | James William Elliott | Optometrist | 10736 Laurel Ridge Rd, Ashland, KY 41102-8615 | 2006-12-22 |
| 1679633457 | James A Elliott | Dentist | 1003 Legacy Ranch Rd Ste 104, Waxahachie, TX 75165-1294 | 2006-12-11 |
| 1043394786 | James M. Elliott | Chiropractor | 1553 Alpine Ave Nw, Grand Rapids, MI 49504-3169 | 2006-10-25 |
| Street Address |
615 BRIARWOOD LN |
| City | SAN DIMAS |
| State | CA |
| Zip Code | 91773-3608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114533114 | Bonita Counseling Center | Marriage & Family Therapist | 425 W. Bonita Ave., Ste 204, San Dimas, CA 91773 | 2020-09-16 |
| 1457824419 | Georgina Almaraz | Case Manager/Care Coordinator | 677 Cliffside Dr Ste 677, San Dimas, CA 91773 | 2019-01-02 |
| 1922581560 | Readirides, Inc. | Non-emergency Medical Transport (VAN) | 451 W Bonita Ave Ste 14, San Dimas, CA 91773 | 2018-09-10 |
| 1710468376 | Marianne Shehata | Dentist | 925 Avenida Loma Vista, San Dimas, CA 91773 | 2018-08-22 |
| 1750875738 | Compassionate Hearts Home Health, Inc. | Home Health | 237 W Bonita Ave Ste F, San Dimas, CA 91773 | 2018-06-21 |
| 1548786056 | Era Life Care | Home Health | 1109 W San Bernardino Rd Suite 110, Covina, CA 91773 | 2017-08-16 |
| 1700302569 | Melanie Sabrina Schmuck | Physical Therapist | 1301 West Arrow Highway, Suite 130, San Dimas, CA 91773 | 2017-08-14 |
| 1811410111 | Nicole Geraldine Skinner | Social Worker | 762 W Cypress St, San Dimas, CA 91773 | 2017-07-19 |
| 1245760842 | Caren Senn | Dietitian, Registered | 917 Laramie Drive, San Dimas, CA 91773 | 2017-06-15 |
| 1417485020 | Young Mi Kim | Acupuncturist | 1121 Via Verde, San Dimas, CA 91773 | 2017-05-25 |
| Find all providers in zip 91773 | ||||
| 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 |
|---|---|---|---|---|
| 1811410111 | Nicole Geraldine Skinner | Social Worker | 762 W Cypress St, San Dimas, CA 91773 | 2017-07-19 |
| 1629469515 | Patricia Walsh | Social Worker | 380 S San Dimas Ave, San Dimas, CA 91773-4036 | 2015-02-12 |
| 1497900385 | Beverly Jean Crippen | Social Worker | 425 W Bonita Ave Ste 103, San Dimas, CA 91773-2543 | 2008-11-19 |
| 1598987687 | Harry James Matthies | Social Worker | 1440 Camper View Rd, E36, San Dimas, CA 91773-3924 | 2007-05-02 |
| 1396280772 | Anais Carmona | Social Worker | 1900 Sycamore Canyon Rd, San Dimas, CA 91773-1220 | 2016-12-21 |
| 1477932416 | Laura Galaviz | Social Worker | 762 Cypress St, San Dimas, CA 91773-3505 | 2015-05-22 |
| 1457686396 | Edward Steven Cordero | Social Worker | 100 W Foothill Blvd Ste 104, San Dimas, CA 91773 | 2009-10-09 |
| 1447585716 | Alesha Marshall | Social Worker | 1900 Sycamore Canyon Rd, San Dimas, CA 91773-1220 | 2009-10-05 |
| 1033314380 | Cynthia Carleen Gonzalez | Social Worker | 762 W Cypress Ave, San Dimas, CA 91773-3505 | 2007-06-18 |
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| 1730788217 | Tara Christine Stafford | Social Worker | 30 Carlyle Ct, Danville, CA 94506-6147 | 2020-10-26 |
| 1730788282 | Fatima Billoo | Social Worker | 18928 Lassen St, Northridge, CA 91324-1835 | 2020-10-25 |
| 1306445903 | Enerje Wellness Licenced Clinical Social Worker | Social Worker | 7121 Magnolia Ave Ste O, Riverside, CA 92504-3805 | 2020-10-23 |
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| Find all providers with the same taxonomy | ||||
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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.