| Grow Healthcare Group Pc | |
|
99 S Almaden Blvd Ste 600 San Jose CA 95113-1605 | |
| (408) 402-4385 | |
| (954) 480-1784 |
| Full Name | Grow Healthcare Group Pc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 99 S Almaden Blvd Ste 600, San Jose, California |
| Authorized Official Name and Position | Rafid Fadul (OWNER) |
| Authorized Official Contact | 2012937689 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grow Healthcare Group Pc 99 Almaden Blvd Ste 600 San Jose CA 95113-1605 Ph: (408) 402-4385 | Grow Healthcare Group Pc 99 S Almaden Blvd Ste 600 San Jose CA 95113-1605 Ph: (408) 402-4385 |
| NPI Number | 1154994846 |
|---|---|
| Provider Enumeration Date | 07/20/2021 |
| Last Update Date | 04/05/2023 |
| Certification Date | 04/05/2023 |
| Medicare PECOS PAC ID | 1850774746 |
|---|---|
| Medicare Enrollment ID | O20220809004080 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154994846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Juan C Perez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295833242 PECOS PAC ID: 2567418783 Enrollment ID: I20050330000636 |
| Provider Name | Jennifer Kirkland |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912149352 PECOS PAC ID: 0042253577 Enrollment ID: I20050606001161 |
| Provider Name | Georgina Maria Nunez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104820075 PECOS PAC ID: 7012938830 Enrollment ID: I20051208000380 |
| Provider Name | Ruth A Steinberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780624916 PECOS PAC ID: 6204850522 Enrollment ID: I20060125000345 |
| Provider Name | Michelle Kurtz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740367093 PECOS PAC ID: 4486654902 Enrollment ID: I20070108000280 |
| Provider Name | Trevor Macdonough Agar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326149279 PECOS PAC ID: 5395746945 Enrollment ID: I20070124000537 |
| Provider Name | Cheryl James |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104952340 PECOS PAC ID: 7517054224 Enrollment ID: I20071027000067 |
| Provider Name | Paul B Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841473949 PECOS PAC ID: 4688752488 Enrollment ID: I20080418000533 |
| Provider Name | Elena Farias |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629150552 PECOS PAC ID: 3173683950 Enrollment ID: I20081124000623 |
| Provider Name | Ani Balabegian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285868828 PECOS PAC ID: 3971659293 Enrollment ID: I20090928000586 |
| Provider Name | Bruce L Karp |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295735298 PECOS PAC ID: 3971642547 Enrollment ID: I20091120000513 |
| Provider Name | Monica Englander |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841427440 PECOS PAC ID: 9537209465 Enrollment ID: I20091228000075 |
| Provider Name | Kate De La Rosa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235186172 PECOS PAC ID: 9830220425 Enrollment ID: I20100625000378 |
| Provider Name | Yvette Lanausse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760688345 PECOS PAC ID: 1153517727 Enrollment ID: I20101122000439 |
| Provider Name | Robert W Mcalister |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699009308 PECOS PAC ID: 1355522574 Enrollment ID: I20110222000393 |
| Provider Name | Charleen S Bright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366751547 PECOS PAC ID: 2961682216 Enrollment ID: I20110316000908 |
| Provider Name | Michele London |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629296140 PECOS PAC ID: 1759564065 Enrollment ID: I20110324000190 |
| Provider Name | Pamela Jenkins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578591863 PECOS PAC ID: 6406028018 Enrollment ID: I20111004000187 |
| Provider Name | John Machikawa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962712372 PECOS PAC ID: 3274793781 Enrollment ID: I20120320000906 |
| Provider Name | Rosario C Aliviado |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700083193 PECOS PAC ID: 2961666912 Enrollment ID: I20120604000441 |
| Provider Name | Esther R Youngman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225384217 PECOS PAC ID: 9032366588 Enrollment ID: I20120906000005 |
| Provider Name | Carolyn Frances Crimmins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902936321 PECOS PAC ID: 5294985453 Enrollment ID: I20121024000281 |
| Provider Name | Janet P Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003932799 PECOS PAC ID: 4082865886 Enrollment ID: I20121102000305 |
| Provider Name | Karin F Hudson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093866998 PECOS PAC ID: 2466605894 Enrollment ID: I20130114000365 |
| Provider Name | Amir Pooyan Faghfoory |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245558105 PECOS PAC ID: 3476708587 Enrollment ID: I20130221000031 |
| Provider Name | Myrna Vargas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326187147 PECOS PAC ID: 2769620889 Enrollment ID: I20130531000523 |
| Provider Name | Ronald Gellis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891038352 PECOS PAC ID: 4183863418 Enrollment ID: I20130618000600 |
| Provider Name | Judith Willhide James |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205175106 PECOS PAC ID: 3375782311 Enrollment ID: I20130624000009 |
| Provider Name | Michael James Casillas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720312283 PECOS PAC ID: 6406096924 Enrollment ID: I20130705000305 |
| Provider Name | Tiffany Michelle Winston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023216926 PECOS PAC ID: 0345483236 Enrollment ID: I20130824000056 |
| Provider Name | Yuko Ouchi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821029703 PECOS PAC ID: 5395971279 Enrollment ID: I20131125000314 |
| Provider Name | Ronald Dennis Froemming |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932400355 PECOS PAC ID: 5698754505 Enrollment ID: I20140110001335 |
| Provider Name | John Edward Wilkie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396907127 PECOS PAC ID: 7719116193 Enrollment ID: I20140205000582 |
| Provider Name | Khadija H Hamisi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225360498 PECOS PAC ID: 4385874460 Enrollment ID: I20140312000229 |
| Provider Name | Lorah L Joe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609951029 PECOS PAC ID: 8426289315 Enrollment ID: I20140317002089 |
| Provider Name | Kenya D Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285056911 PECOS PAC ID: 2365667086 Enrollment ID: I20140711002007 |
| Provider Name | Kirby N Wohlander |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407279656 PECOS PAC ID: 7416173240 Enrollment ID: I20140730002507 |
| Provider Name | Rebecca J Coutin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174881171 PECOS PAC ID: 6608094602 Enrollment ID: I20140904002739 |
| Provider Name | Karen L Kessler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467489187 PECOS PAC ID: 5193049328 Enrollment ID: I20150119000010 |
| Provider Name | Jaana Salonsaari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568863348 PECOS PAC ID: 1052638376 Enrollment ID: I20150326000452 |
| Provider Name | Beril J Prager |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609275841 PECOS PAC ID: 2860719846 Enrollment ID: I20150401000715 |
| Provider Name | Steven Ivan Cospewicz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578876504 PECOS PAC ID: 6103137781 Enrollment ID: I20150623002926 |
| Provider Name | Shannon Maximov |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245378835 PECOS PAC ID: 0446563985 Enrollment ID: I20150713002915 |
| Provider Name | Maria T Belinsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760867824 PECOS PAC ID: 5092015768 Enrollment ID: I20151202000700 |
| Provider Name | Mui Leanne Gip |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528213980 PECOS PAC ID: 4789985672 Enrollment ID: I20151218000407 |
| Provider Name | Nasreen Safdar Rahman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801161807 PECOS PAC ID: 9830415298 Enrollment ID: I20160421002076 |
| Provider Name | Suanny Espinosa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831404185 PECOS PAC ID: 9133411283 Enrollment ID: I20160711000240 |
| Provider Name | Melba M Morales |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750502647 PECOS PAC ID: 4587958756 Enrollment ID: I20160810002554 |
| Provider Name | Kelly Y Mullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700230471 PECOS PAC ID: 3072807122 Enrollment ID: I20160811002127 |
| Provider Name | Denise L Jones-kazan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235259359 PECOS PAC ID: 5193902187 Enrollment ID: I20161109002399 |
| Provider Name | Amy K Votta Fierro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881714483 PECOS PAC ID: 3375822257 Enrollment ID: I20161116002678 |
| Provider Name | Gloria Sudeta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083070064 PECOS PAC ID: 7810285210 Enrollment ID: I20161130001840 |
| Provider Name | Pedro Morante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689038507 PECOS PAC ID: 4385937861 Enrollment ID: I20161205002451 |
| Provider Name | Jessica V Moya |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497169890 PECOS PAC ID: 4183904287 Enrollment ID: I20161207001003 |
| Provider Name | Freda Ayers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619244357 PECOS PAC ID: 1456631563 Enrollment ID: I20161207001394 |
| Provider Name | Uchechi L Nwosu-iroha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306211081 PECOS PAC ID: 9032496211 Enrollment ID: I20170426002246 |
| Provider Name | Joel J Morrison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548619927 PECOS PAC ID: 5395022784 Enrollment ID: I20170512001483 |
| Provider Name | Constance M Whelan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184173106 PECOS PAC ID: 8820379381 Enrollment ID: I20170720001980 |
| Provider Name | Savannah M Hoffman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134646565 PECOS PAC ID: 2860767613 Enrollment ID: I20171004003732 |
| Provider Name | Sammy Glenn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699064147 PECOS PAC ID: 4082858386 Enrollment ID: I20171122001098 |
| Provider Name | Andy Yen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023521010 PECOS PAC ID: 4385902964 Enrollment ID: I20180103003091 |
| Provider Name | Katherine Cianci |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245775758 PECOS PAC ID: 2668731621 Enrollment ID: I20180119001024 |
| Provider Name | Ellen Y Suski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356888127 PECOS PAC ID: 7012278971 Enrollment ID: I20180309002271 |
| Provider Name | Melvin D Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669916615 PECOS PAC ID: 3072875806 Enrollment ID: I20180315000097 |
| Provider Name | Meghan Murphy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316452303 PECOS PAC ID: 4587926183 Enrollment ID: I20180320000265 |
| Provider Name | Rikki S Pashen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760852321 PECOS PAC ID: 6305149469 Enrollment ID: I20180321001933 |
| Provider Name | Dawn Manion |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376667683 PECOS PAC ID: 5294098141 Enrollment ID: I20180418002475 |
| Provider Name | Ana J Popoca-logue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437262219 PECOS PAC ID: 6608177134 Enrollment ID: I20180501001578 |
| Provider Name | Norman Dale Severe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356362909 PECOS PAC ID: 7315215126 Enrollment ID: I20180511001492 |
| Provider Name | Sloane P Sandler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992195770 PECOS PAC ID: 4688920010 Enrollment ID: I20180627002324 |
| Provider Name | Teri-lee Hedman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154811636 PECOS PAC ID: 5991058794 Enrollment ID: I20181024002409 |
| Provider Name | Yvonne Novena Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275659773 PECOS PAC ID: 1254685811 Enrollment ID: I20181116002160 |
| Provider Name | Caine Christensen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952895021 PECOS PAC ID: 4385989581 Enrollment ID: I20181217000956 |
| Provider Name | Susie Ro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083122972 PECOS PAC ID: 0042557498 Enrollment ID: I20190123003909 |
| Provider Name | Jessica Lynne Rose Kubas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629571542 PECOS PAC ID: 9032458716 Enrollment ID: I20190222002813 |
| Provider Name | Tiffany Figuero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174011928 PECOS PAC ID: 8123367554 Enrollment ID: I20190302000039 |
| Provider Name | Rebecca Marie Zarza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548590805 PECOS PAC ID: 2365783180 Enrollment ID: I20190404001144 |
| Provider Name | Anne Rettenberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528179900 PECOS PAC ID: 8820282726 Enrollment ID: I20190410001358 |
| Provider Name | Brandon David Waugh |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1619459187 PECOS PAC ID: 1153662408 Enrollment ID: I20190415000630 |
| Provider Name | Melissa Stolsig |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881912301 PECOS PAC ID: 1153663026 Enrollment ID: I20190424001012 |
| Provider Name | Margaret Novotny |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447716097 PECOS PAC ID: 3274875182 Enrollment ID: I20190424003025 |
| Provider Name | Nancy Rehfeld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093198848 PECOS PAC ID: 8729311923 Enrollment ID: I20190603001433 |
| Provider Name | Lisa A K Salopek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619062197 PECOS PAC ID: 3274583984 Enrollment ID: I20190603003008 |
| Provider Name | Soudabeh Rahmankhah |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942523691 PECOS PAC ID: 3971837402 Enrollment ID: I20190702003387 |
| Provider Name | Alyssa Anne Stone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659761047 PECOS PAC ID: 0840525978 Enrollment ID: I20190711003066 |
| Provider Name | Miranda Dianne Duncan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669863767 PECOS PAC ID: 0345575312 Enrollment ID: I20190712001320 |
| Provider Name | Kevin J Kukoleck |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295821171 PECOS PAC ID: 2466466768 Enrollment ID: I20190829002100 |
| Provider Name | Eric J. Gardner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861688269 PECOS PAC ID: 4385819929 Enrollment ID: I20190906002896 |
| Provider Name | Jamie Trachtenberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528198231 PECOS PAC ID: 1355671041 Enrollment ID: I20190923002732 |
| Provider Name | Christine Gottung |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134597123 PECOS PAC ID: 4880026954 Enrollment ID: I20191111001177 |
| Provider Name | Charles I Silverstein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851587992 PECOS PAC ID: 7416274881 Enrollment ID: I20191126002618 |
| Provider Name | Landon Hallbrooks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447651310 PECOS PAC ID: 0941634638 Enrollment ID: I20200106002468 |
| Provider Name | Camesha M Harper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770845364 PECOS PAC ID: 8729413513 Enrollment ID: I20200124002356 |
| Provider Name | Sierra Kristina Rios |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942746128 PECOS PAC ID: 7618303173 Enrollment ID: I20200203000269 |
| Provider Name | Deidra Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720599558 PECOS PAC ID: 6204263874 Enrollment ID: I20200219002872 |
| Provider Name | Jasmine Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962827220 PECOS PAC ID: 5890122410 Enrollment ID: I20200220002012 |
| Provider Name | Mark Alan Logan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780107433 PECOS PAC ID: 2062840879 Enrollment ID: I20200310000495 |
| Provider Name | Vivian Wesley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093190498 PECOS PAC ID: 4082043070 Enrollment ID: I20200325003829 |
| Provider Name | Angel Soriano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558719328 PECOS PAC ID: 5799114948 Enrollment ID: I20200409000598 |
| Provider Name | Stefanie D Peters |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558690354 PECOS PAC ID: 8123458023 Enrollment ID: I20200416002195 |
| Provider Name | Kathleen Wickman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386005254 PECOS PAC ID: 3274963129 Enrollment ID: I20200417000706 |
| Provider Name | Tiffany Kirstin Kernutt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700119609 PECOS PAC ID: 6709216294 Enrollment ID: I20200424000346 |
| Provider Name | Jennifer Renae Kljajic |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346645413 PECOS PAC ID: 1456629484 Enrollment ID: I20200508002817 |
| Provider Name | Jamie Powers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629471974 PECOS PAC ID: 6800217860 Enrollment ID: I20200528002717 |
| Provider Name | Belinda Valdivia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245666304 PECOS PAC ID: 2567884216 Enrollment ID: I20200625000814 |
| Provider Name | Tammy Mckee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013224302 PECOS PAC ID: 8729401310 Enrollment ID: I20200715001710 |
| Provider Name | Deborah M Bauman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740418508 PECOS PAC ID: 8426472697 Enrollment ID: I20200721001919 |
| Provider Name | Prisca Gloor Maung |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699809251 PECOS PAC ID: 8820392020 Enrollment ID: I20200728002242 |
| Provider Name | Sharon Orlina Vargas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144698648 PECOS PAC ID: 7517382112 Enrollment ID: I20200729003393 |
| Provider Name | Natsuko M Jacobson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801205349 PECOS PAC ID: 1557786498 Enrollment ID: I20200804001941 |
| Provider Name | Cynthia Ludi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528483336 PECOS PAC ID: 6103245469 Enrollment ID: I20201006001630 |
| Provider Name | Eleana Coll |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710399670 PECOS PAC ID: 3779903356 Enrollment ID: I20201020003855 |
| Provider Name | Diana Uribe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346555158 PECOS PAC ID: 4587074117 Enrollment ID: I20201110000752 |
| Provider Name | Shannon K Casey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548873755 PECOS PAC ID: 8426477217 Enrollment ID: I20201116000534 |
| Provider Name | Gregg A Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396854030 PECOS PAC ID: 1052391836 Enrollment ID: I20210107001140 |
| Provider Name | Kenneth Saldua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730728742 PECOS PAC ID: 6002228657 Enrollment ID: I20210118000564 |
| Provider Name | Felicia Hermle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437584646 PECOS PAC ID: 6901210525 Enrollment ID: I20210122000181 |
| Provider Name | Leslie Shannon Laughlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124468426 PECOS PAC ID: 2466867791 Enrollment ID: I20210219000960 |
| Provider Name | Michael Alessio Villanueva |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679786941 PECOS PAC ID: 8729494315 Enrollment ID: I20210305000650 |
| Provider Name | Shannon M Huddleston |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518307164 PECOS PAC ID: 6002146206 Enrollment ID: I20210321000002 |
| Provider Name | Edwin Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053648980 PECOS PAC ID: 9032431713 Enrollment ID: I20210406001471 |
| Provider Name | Laura J Ramirez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932577848 PECOS PAC ID: 1254748361 Enrollment ID: I20210407000896 |
| Provider Name | Jillian Mika Ogata |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043817935 PECOS PAC ID: 9931517893 Enrollment ID: I20210414002746 |
| Provider Name | Joshua Olson Swigart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407347735 PECOS PAC ID: 9537410493 Enrollment ID: I20210419001811 |
| Provider Name | Rebecca Kate Dunn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922478361 PECOS PAC ID: 7719395946 Enrollment ID: I20210428000010 |
| Provider Name | Vita M Callari |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780809558 PECOS PAC ID: 5991790461 Enrollment ID: I20210517001513 |
| Provider Name | Angela Ofoegbu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457828097 PECOS PAC ID: 0042619207 Enrollment ID: I20210520002462 |
| Provider Name | Bruce H Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831287556 PECOS PAC ID: 0345640256 Enrollment ID: I20210615001797 |
| Provider Name | Erica Mcarn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457895021 PECOS PAC ID: 3779992128 Enrollment ID: I20210616000912 |
| Provider Name | Donna M Grandi-nikander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689890303 PECOS PAC ID: 0345130589 Enrollment ID: I20210625000718 |
| Provider Name | Uchechukwu Adaure Alozie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558962803 PECOS PAC ID: 4082015185 Enrollment ID: I20210628000704 |
| Provider Name | Brandon Phillip Schroeder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043512163 PECOS PAC ID: 2365844198 Enrollment ID: I20210715001857 |
| Provider Name | Diari Marcus Banigo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801192083 PECOS PAC ID: 1254635576 Enrollment ID: I20210728003824 |
| Provider Name | Samantha Eden Schaefer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609226372 PECOS PAC ID: 6305241977 Enrollment ID: I20210819001430 |
| Provider Name | Otishia Hill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376726406 PECOS PAC ID: 8224433818 Enrollment ID: I20210819002315 |
| Provider Name | Halima Lawal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164092656 PECOS PAC ID: 9032516174 Enrollment ID: I20210916001134 |
| Provider Name | Amanda Carr |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679764609 PECOS PAC ID: 2769889419 Enrollment ID: I20210922001476 |
| Provider Name | Anthony Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346724499 PECOS PAC ID: 2062819741 Enrollment ID: I20210922002796 |
| Provider Name | Wendy Talley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013108521 PECOS PAC ID: 7214334598 Enrollment ID: I20210929002165 |
| Provider Name | Deborah Fujimoto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851545404 PECOS PAC ID: 6002214228 Enrollment ID: I20211001001346 |
| Provider Name | Robert Eugene Leeburg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124480645 PECOS PAC ID: 4880082577 Enrollment ID: I20211029001175 |
| Provider Name | Christine L. Ellis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477846186 PECOS PAC ID: 8224468780 Enrollment ID: I20211207000824 |
| Provider Name | Ruth Vergara-callahan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306247994 PECOS PAC ID: 2567856149 Enrollment ID: I20220224001166 |
| Provider Name | Denise Harlan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316336779 PECOS PAC ID: 4183018229 Enrollment ID: I20220307000289 |
| Provider Name | Demetric Marsh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629190848 PECOS PAC ID: 9638270226 Enrollment ID: I20220311001827 |
| Provider Name | Roberta Efomon Iyamu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710596762 PECOS PAC ID: 8224423934 Enrollment ID: I20220316001180 |
| Provider Name | Savanna P Olsson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245985464 PECOS PAC ID: 8820483084 Enrollment ID: I20220324002884 |
| Provider Name | Terisa Marie Berger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255784922 PECOS PAC ID: 5496141582 Enrollment ID: I20220329000837 |
| Provider Name | Alicia Santiago |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942430046 PECOS PAC ID: 3274929286 Enrollment ID: I20220330002852 |
| Provider Name | Sonya Yvette Lincoln |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114369147 PECOS PAC ID: 1850787268 Enrollment ID: I20220412002670 |
| Provider Name | Adam Castillo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396377495 PECOS PAC ID: 1850788373 Enrollment ID: I20220429001872 |
| Provider Name | Porsha Marie Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992387088 PECOS PAC ID: 1951788579 Enrollment ID: I20220519000892 |
| Provider Name | Alexandra Ivanovsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427446947 PECOS PAC ID: 4981081320 Enrollment ID: I20220524002095 |
| Provider Name | Anthony N Quilon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972037083 PECOS PAC ID: 3072991918 Enrollment ID: I20220603002187 |
| Provider Name | Alicia Maria Barrs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427107085 PECOS PAC ID: 2163417957 Enrollment ID: I20220606002195 |
| Provider Name | Priscella Jaen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780098590 PECOS PAC ID: 1355720830 Enrollment ID: I20220614002997 |
| Provider Name | Anna Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053662841 PECOS PAC ID: 9234351172 Enrollment ID: I20220713001495 |
| Provider Name | Angela Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770224859 PECOS PAC ID: 2466833660 Enrollment ID: I20220719003578 |
| Provider Name | Linda K Zuchegna |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700363298 PECOS PAC ID: 3375925431 Enrollment ID: I20220805001181 |
| Provider Name | Ijeoma Eze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154905081 PECOS PAC ID: 1658777594 Enrollment ID: I20220808001544 |
| Provider Name | Lisa Caper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679621262 PECOS PAC ID: 9032592704 Enrollment ID: I20220812000343 |
| Provider Name | Rita Onwenna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003463100 PECOS PAC ID: 6608250485 Enrollment ID: I20220827000310 |
| Provider Name | Robert Garza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972657575 PECOS PAC ID: 0244614931 Enrollment ID: I20220830000613 |
| Provider Name | Navpreet Brar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093208910 PECOS PAC ID: 9830574540 Enrollment ID: I20220916000547 |
| Provider Name | Israel Valdez-hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073842662 PECOS PAC ID: 0446635718 Enrollment ID: I20220922002381 |
| Provider Name | Ryan Kim Tieu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104216597 PECOS PAC ID: 1850777012 Enrollment ID: I20220926003307 |
| Provider Name | Janet L James |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740707223 PECOS PAC ID: 4880070648 Enrollment ID: I20220930001736 |
| Provider Name | Deanna Spence |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750817482 PECOS PAC ID: 6901282250 Enrollment ID: I20221010003201 |
| Provider Name | Anahita Behrouzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801437389 PECOS PAC ID: 2769858505 Enrollment ID: I20221019000204 |
| Provider Name | Joshua Paulos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871957639 PECOS PAC ID: 4284001124 Enrollment ID: I20221104001728 |
| Provider Name | Tiong Yee Tan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275999690 PECOS PAC ID: 6103293030 Enrollment ID: I20221107002991 |
| Provider Name | Fines Pafira Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467095224 PECOS PAC ID: 8426425091 Enrollment ID: I20221110002804 |
| Provider Name | Blanca Codina |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730461336 PECOS PAC ID: 7618374430 Enrollment ID: I20221118002090 |
| Provider Name | Nina Maryclaire Dreyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952403404 PECOS PAC ID: 4385012145 Enrollment ID: I20221129000706 |
| Provider Name | Tonya D. Octave |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518191253 PECOS PAC ID: 6103294814 Enrollment ID: I20221130000027 |
| Provider Name | Marilou Marasigan Cabusao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700514957 PECOS PAC ID: 1052789781 Enrollment ID: I20221130000655 |
| Provider Name | Elizabeth Marie Belingheri |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417533761 PECOS PAC ID: 9537537279 Enrollment ID: I20221130001020 |
| Provider Name | Gabriela Luciana Ruiz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578285631 PECOS PAC ID: 8022486760 Enrollment ID: I20221130001233 |
| Provider Name | Kosi Obialor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336861632 PECOS PAC ID: 3779951421 Enrollment ID: I20221130001720 |
| Provider Name | Grace Chen Huang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942649249 PECOS PAC ID: 9830567510 Enrollment ID: I20221130002780 |
| Provider Name | Sharon J S Ramos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760033781 PECOS PAC ID: 1658749262 Enrollment ID: I20221201000989 |
| Provider Name | Javier Omar Melendez-vega |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710400965 PECOS PAC ID: 8123496742 Enrollment ID: I20221201001431 |
| Provider Name | Mishanda Y Freeman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376185215 PECOS PAC ID: 3072981620 Enrollment ID: I20221201002620 |
| Provider Name | Larry William Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306366182 PECOS PAC ID: 4385012954 Enrollment ID: I20221201003397 |
| Provider Name | Susan Su Burns |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992847941 PECOS PAC ID: 8022486604 Enrollment ID: I20221202000273 |
| Provider Name | Jordan Abernathy-cornelius |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396488433 PECOS PAC ID: 4688042278 Enrollment ID: I20221202000557 |
| Provider Name | Adaobi Maureen Adimorah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114429719 PECOS PAC ID: 7113396706 Enrollment ID: I20221202001068 |
| Provider Name | Adelaide Mcmahon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649684739 PECOS PAC ID: 9234508847 Enrollment ID: I20221202002009 |
| Provider Name | Amanda Medina |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487087037 PECOS PAC ID: 2466821087 Enrollment ID: I20221202002291 |
| Provider Name | Rochelle Rainey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770899759 PECOS PAC ID: 5092184614 Enrollment ID: I20221202002374 |
| Provider Name | Brandy Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679225239 PECOS PAC ID: 9739558396 Enrollment ID: I20221205000569 |
| Provider Name | David Paul Suzuki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952059560 PECOS PAC ID: 5597134163 Enrollment ID: I20221205000832 |
| Provider Name | Frances Blanco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710262738 PECOS PAC ID: 3476922907 Enrollment ID: I20221206000459 |
| Provider Name | Lillian Azouz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316490279 PECOS PAC ID: 5698144129 Enrollment ID: I20221206000729 |
| Provider Name | Tyler Scharon Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619629649 PECOS PAC ID: 0941679401 Enrollment ID: I20221206001714 |
| Provider Name | Obidi Obienu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780007179 PECOS PAC ID: 5698142107 Enrollment ID: I20221206002455 |
| Provider Name | Linday Ivette Alvarez-tobias |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831628429 PECOS PAC ID: 0345619748 Enrollment ID: I20221207000196 |
| Provider Name | Michelle Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952671679 PECOS PAC ID: 5496124828 Enrollment ID: I20221207001222 |
| Provider Name | Candy Taylor-ceballos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952054876 PECOS PAC ID: 9739558172 Enrollment ID: I20221207001768 |
| Provider Name | Raven Cross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114596624 PECOS PAC ID: 6800265257 Enrollment ID: I20221207002371 |
| Provider Name | Sherry Ellis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821543455 PECOS PAC ID: 5395114607 Enrollment ID: I20221208001470 |
| Provider Name | Michele Park Andrew |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063131845 PECOS PAC ID: 5597134809 Enrollment ID: I20221208001788 |
| Provider Name | Chantell Smeisser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518453257 PECOS PAC ID: 8123497393 Enrollment ID: I20221209001242 |
| Provider Name | Karen M Quinn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376052209 PECOS PAC ID: 8224407432 Enrollment ID: I20221210000000 |
| Provider Name | Joecoline Nwachukwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386377612 PECOS PAC ID: 2769851997 Enrollment ID: I20221212000320 |
| Provider Name | Micah Kevin Carlson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699387092 PECOS PAC ID: 7113396342 Enrollment ID: I20221212000340 |
| Provider Name | Rochelle Allen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316359375 PECOS PAC ID: 8022487263 Enrollment ID: I20221212000726 |
| Provider Name | Elizabeth Catherine Casey Larsson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679052955 PECOS PAC ID: 9234508375 Enrollment ID: I20221212001014 |
| Provider Name | Soyong Theresa Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518026236 PECOS PAC ID: 8224407366 Enrollment ID: I20221212001043 |
| Provider Name | Nicole E Bellisario |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982172003 PECOS PAC ID: 1557730512 Enrollment ID: I20221213003272 |
| Provider Name | Gabriela Aguilar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780139576 PECOS PAC ID: 8527438548 Enrollment ID: I20230106001907 |
| Provider Name | Edward Jason Valdez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861940546 PECOS PAC ID: 0941670806 Enrollment ID: I20230110002514 |
| Provider Name | Timothy Sean Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972760528 PECOS PAC ID: 2961872718 Enrollment ID: I20230112000967 |
| Provider Name | Phyllis Farmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639899818 PECOS PAC ID: 1456722271 Enrollment ID: I20230113001086 |
| Provider Name | Mikaela Carrillo Escobar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720713902 PECOS PAC ID: 9133590961 Enrollment ID: I20230113001678 |
| Provider Name | Jamie Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407308422 PECOS PAC ID: 7810241692 Enrollment ID: I20230116000139 |
| Provider Name | Kayoua Thao |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730627977 PECOS PAC ID: 3870870348 Enrollment ID: I20230124003343 |
| Provider Name | Vanessa Linda Cruz Torres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104082460 PECOS PAC ID: 9537530761 Enrollment ID: I20230125001740 |
| Provider Name | Tania P Salazar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457082950 PECOS PAC ID: 2769853902 Enrollment ID: I20230125002579 |
| Provider Name | Robin Renee Ensor Kopf |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972223949 PECOS PAC ID: 2062883226 Enrollment ID: I20230125003550 |
| Provider Name | Ashley Pearce |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265141055 PECOS PAC ID: 3173994357 Enrollment ID: I20230126000780 |
| Provider Name | Lisa Wyner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023640505 PECOS PAC ID: 7911378104 Enrollment ID: I20230126001168 |
| Provider Name | Mannette Amy Perez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194032409 PECOS PAC ID: 0143691345 Enrollment ID: I20230126001422 |
| Provider Name | Maritza Martin Del Rio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669831830 PECOS PAC ID: 2365813565 Enrollment ID: I20230126001749 |
| Provider Name | Peter Xuan Pham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366908543 PECOS PAC ID: 7517338684 Enrollment ID: I20230127001806 |
| Provider Name | Michelle Beames |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730656679 PECOS PAC ID: 9436520517 Enrollment ID: I20230127002207 |
| Provider Name | Raishelle Lian Meagher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851821904 PECOS PAC ID: 0345611422 Enrollment ID: I20230127002219 |
| Provider Name | Deanna Jefferson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902318355 PECOS PAC ID: 9638540644 Enrollment ID: I20230130000423 |
| Provider Name | Andrea L Baxter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790375293 PECOS PAC ID: 1759752785 Enrollment ID: I20230130001230 |
| Provider Name | Matilda Bockarie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396480059 PECOS PAC ID: 4880065838 Enrollment ID: I20230130001975 |
| Provider Name | Amanda Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235500091 PECOS PAC ID: 2860863867 Enrollment ID: I20230131001400 |
| Provider Name | Sue De Santo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740375013 PECOS PAC ID: 7810368818 Enrollment ID: I20230131001535 |
| Provider Name | Angelica Quinones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366174559 PECOS PAC ID: 1254702152 Enrollment ID: I20230131001705 |
| Provider Name | Jonghyeok Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710444377 PECOS PAC ID: 8820469729 Enrollment ID: I20230131002130 |
| Provider Name | Sharon Anne Price |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629581210 PECOS PAC ID: 2264803170 Enrollment ID: I20230131002285 |
| Provider Name | Karen D Kochenburg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205432978 PECOS PAC ID: 2567833478 Enrollment ID: I20230131002639 |
| Provider Name | Doris Council |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144680653 PECOS PAC ID: 1052652609 Enrollment ID: I20230201000000 |
| Provider Name | Kristine Asatryan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013282151 PECOS PAC ID: 1557733441 Enrollment ID: I20230201002977 |
| Provider Name | Azucena Acosta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255937496 PECOS PAC ID: 4284032418 Enrollment ID: I20230201003116 |
| Provider Name | Ann Catherine Eicker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821280017 PECOS PAC ID: 3971975871 Enrollment ID: I20230201003204 |
| Provider Name | Marlene Millan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831846658 PECOS PAC ID: 4284006123 Enrollment ID: I20230202001364 |
| Provider Name | Angela Mackay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720655053 PECOS PAC ID: 8820487705 Enrollment ID: I20230202002677 |
| Provider Name | Rochelle Blaire Greene |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760512552 PECOS PAC ID: 1759753585 Enrollment ID: I20230203002298 |
| Provider Name | Alma Sarinana |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841500568 PECOS PAC ID: 3678945342 Enrollment ID: I20230206001376 |
| Provider Name | Kelly Miyakawa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174907117 PECOS PAC ID: 6901278688 Enrollment ID: I20230206001588 |
| Provider Name | Natalie Cheetham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871204107 PECOS PAC ID: 2567834278 Enrollment ID: I20230206002874 |
| Provider Name | Tina Nguyen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174041586 PECOS PAC ID: 0244602902 Enrollment ID: I20230207002210 |
| Provider Name | Leslie Hammer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982005013 PECOS PAC ID: 6406228030 Enrollment ID: I20230208001826 |
| Provider Name | Shadya Parthenia Towne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992356877 PECOS PAC ID: 7416329057 Enrollment ID: I20230208002169 |
| Provider Name | Payge Nicol Casady-christensen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164141685 PECOS PAC ID: 4688046162 Enrollment ID: I20230209001313 |
| Provider Name | Serena Goldsmith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962758615 PECOS PAC ID: 6901278498 Enrollment ID: I20230209001518 |
| Provider Name | Funmilola Olayemi Ojeleye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790407492 PECOS PAC ID: 3072985613 Enrollment ID: I20230215001020 |
| Provider Name | Ashley Newman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194171595 PECOS PAC ID: 6002288289 Enrollment ID: I20230216001696 |
| Provider Name | Shantrinia Martriece Basit |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366605453 PECOS PAC ID: 8628440831 Enrollment ID: I20230217000270 |
| Provider Name | Lalisa Caprie Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689311607 PECOS PAC ID: 3577935683 Enrollment ID: I20230217000553 |
| Provider Name | Ola Ethel Ojeikere |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518484773 PECOS PAC ID: 5294107306 Enrollment ID: I20230217000603 |
| Provider Name | Marisol Cendejas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255897476 PECOS PAC ID: 2365814480 Enrollment ID: I20230217000719 |
| Provider Name | Meghan Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457014979 PECOS PAC ID: 1254703325 Enrollment ID: I20230218000594 |
| Provider Name | Patricia Reyna |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144537036 PECOS PAC ID: 0749652824 Enrollment ID: I20230220000290 |
| Provider Name | Ran Ren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649980566 PECOS PAC ID: 8628440625 Enrollment ID: I20230220001354 |
| Provider Name | Amy Lee Rhoades |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639697097 PECOS PAC ID: 6709258726 Enrollment ID: I20230220002259 |
| Provider Name | Joseph Karl Hoffman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922486497 PECOS PAC ID: 0244602266 Enrollment ID: I20230220002304 |
| Provider Name | Lissell Andrea Andrade |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861922270 PECOS PAC ID: 1759753775 Enrollment ID: I20230220002455 |
| Provider Name | Eminely Soberanis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083019517 PECOS PAC ID: 2567834583 Enrollment ID: I20230220002503 |
| Provider Name | Melissa E Mott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306251418 PECOS PAC ID: 7911379946 Enrollment ID: I20230220002581 |
| Provider Name | Mary Montero |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265140164 PECOS PAC ID: 8820460850 Enrollment ID: I20230220002587 |
| Provider Name | John Alexander |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598977647 PECOS PAC ID: 6002288065 Enrollment ID: I20230221001520 |
| Provider Name | Brent Kornish |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578939872 PECOS PAC ID: 2860864840 Enrollment ID: I20230221002325 |
| Provider Name | Janai Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659798171 PECOS PAC ID: 4688046667 Enrollment ID: I20230221002333 |
| Provider Name | Jose Israel Menendez Interiano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588176317 PECOS PAC ID: 3577935550 Enrollment ID: I20230221002415 |
| Provider Name | Jeana Dale |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366636250 PECOS PAC ID: 6305179052 Enrollment ID: I20230222000352 |
| Provider Name | Kiah Marks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215305727 PECOS PAC ID: 9931572906 Enrollment ID: I20230222003197 |
| Provider Name | Malia Fendy Guillaume-wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417686817 PECOS PAC ID: 0244603132 Enrollment ID: I20230223000952 |
| Provider Name | Tyra Lynn Hughes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477152338 PECOS PAC ID: 7315310208 Enrollment ID: I20230223001059 |
| Provider Name | Annemarie Christine Dillon-chi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134614498 PECOS PAC ID: 2769855659 Enrollment ID: I20230223001129 |
| Provider Name | Courtney Lashea Warfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285958520 PECOS PAC ID: 7113390006 Enrollment ID: I20230223001142 |
| Provider Name | Tiffani A Lang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932682283 PECOS PAC ID: 7719350644 Enrollment ID: I20230223002772 |
| Provider Name | Lisa Robertson Veyssiere |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891171971 PECOS PAC ID: 0547633315 Enrollment ID: I20230224001993 |
| Provider Name | Christine Sarkissian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609310952 PECOS PAC ID: 1658744479 Enrollment ID: I20230227000705 |
| Provider Name | Deirdre Devlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073758629 PECOS PAC ID: 8820408230 Enrollment ID: I20230227000928 |
| Provider Name | Geovanna Asturias |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164054607 PECOS PAC ID: 4688047426 Enrollment ID: I20230227001509 |
| Provider Name | Nattaly Valenzuela-meza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811133416 PECOS PAC ID: 7315310166 Enrollment ID: I20230227001931 |
| Provider Name | Chung Thi Pham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568504678 PECOS PAC ID: 3476926221 Enrollment ID: I20230227002042 |
| Provider Name | Kimberly M Weimer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780808055 PECOS PAC ID: 3072986827 Enrollment ID: I20230227002212 |
| Provider Name | Tristin L Victor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861976953 PECOS PAC ID: 9133533656 Enrollment ID: I20230227002636 |
| Provider Name | Cherish Christine Knoll |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336386507 PECOS PAC ID: 4183097876 Enrollment ID: I20230228000876 |
| Provider Name | Berenice Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548391865 PECOS PAC ID: 1850764549 Enrollment ID: I20230228001137 |
| Provider Name | Jessica Press |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770961997 PECOS PAC ID: 6204209919 Enrollment ID: I20230228001718 |
| Provider Name | Steven Eric Sherry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669502936 PECOS PAC ID: 9638542343 Enrollment ID: I20230228001790 |
| Provider Name | Asher Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073876017 PECOS PAC ID: 5496128134 Enrollment ID: I20230228003188 |
| Provider Name | Abryan C Seabron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528442068 PECOS PAC ID: 9032582572 Enrollment ID: I20230302001673 |
| Provider Name | Asia Nicole Payne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891127601 PECOS PAC ID: 3577936061 Enrollment ID: I20230303000439 |
| Provider Name | Kendall Ashton Bradford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992377360 PECOS PAC ID: 7113390477 Enrollment ID: I20230307001938 |
| Provider Name | Lina Toyos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679942296 PECOS PAC ID: 6507239878 Enrollment ID: I20230307002759 |
| Provider Name | Stacee Elizabeth Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902921513 PECOS PAC ID: 8224401435 Enrollment ID: I20230308001300 |
| Provider Name | Ciarys Rubio Jung |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215690516 PECOS PAC ID: 6002289212 Enrollment ID: I20230308001521 |
| Provider Name | Brandy Head |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598360653 PECOS PAC ID: 3072926450 Enrollment ID: I20230308001816 |
| Provider Name | Matthew Evan Lyon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043529720 PECOS PAC ID: 7810360062 Enrollment ID: I20230308003031 |
| Provider Name | Joseph Robert Crivello |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063085991 PECOS PAC ID: 8729451828 Enrollment ID: I20230309002506 |
| Provider Name | Ashley Cisneros |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093454167 PECOS PAC ID: 6800260795 Enrollment ID: I20230315002502 |
| Provider Name | Terri Pittenger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174779599 PECOS PAC ID: 0547524654 Enrollment ID: I20230316001938 |
| Provider Name | Elizabeth Anaya-olmedo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982293510 PECOS PAC ID: 9234503095 Enrollment ID: I20230316002490 |
| Provider Name | Julie M Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366157125 PECOS PAC ID: 0749654515 Enrollment ID: I20230317000230 |
| Provider Name | Geraldine Zuniga |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700291820 PECOS PAC ID: 2163896978 Enrollment ID: I20230317001904 |
| Provider Name | Heidi Marie Zeichick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760786446 PECOS PAC ID: 7618341355 Enrollment ID: I20230321001717 |
| Provider Name | Stephanie Abigail Adams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992217079 PECOS PAC ID: 5092189654 Enrollment ID: I20230321003032 |
| Provider Name | Jennifer Pfeuffer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134763972 PECOS PAC ID: 7315372299 Enrollment ID: I20230323000567 |
| Provider Name | Mary Cherub Tagle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790011492 PECOS PAC ID: 4082088554 Enrollment ID: I20230323002216 |
| Provider Name | Claudia Christine Jimenez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417191958 PECOS PAC ID: 3971977448 Enrollment ID: I20230323002287 |
| Provider Name | Chrystal Liebold |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578092979 PECOS PAC ID: 9638411655 Enrollment ID: I20230323002457 |
| Provider Name | Carly Ann Graber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215582689 PECOS PAC ID: 7416321815 Enrollment ID: I20230327001794 |
| Provider Name | Corynna Nichole Ford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134254360 PECOS PAC ID: 4789058017 Enrollment ID: I20230328000664 |
| Provider Name | Michael C Garvey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588619290 PECOS PAC ID: 9234503467 Enrollment ID: I20230329002512 |
| Provider Name | Araceli Alicia Vega |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699337840 PECOS PAC ID: 7911371158 Enrollment ID: I20230329002911 |
| Provider Name | Pantira Aguilera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033826417 PECOS PAC ID: 1052785243 Enrollment ID: I20230330001649 |
| Provider Name | Jasvinder K Mann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699491365 PECOS PAC ID: 1355716556 Enrollment ID: I20230330002548 |
| Provider Name | Jacqueline Green-garvey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083097604 PECOS PAC ID: 4880069087 Enrollment ID: I20230330002648 |
| Provider Name | Emil Paul Jech |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366742173 PECOS PAC ID: 4082089164 Enrollment ID: I20230403000474 |
| Provider Name | William Anthony Rodriquez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710429147 PECOS PAC ID: 4082089172 Enrollment ID: I20230403000861 |
| Provider Name | Rachel Ashiokai Otubuah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902557192 PECOS PAC ID: 7911372081 Enrollment ID: I20230404001655 |
| Provider Name | Helene Morel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174253959 PECOS PAC ID: 5092180018 Enrollment ID: I20230405000886 |
| Provider Name | Diana Cecilia Villena |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386938546 PECOS PAC ID: 2961877915 Enrollment ID: I20230405001925 |
| Provider Name | Jessica Marin Swaney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871079988 PECOS PAC ID: 3375918329 Enrollment ID: I20230405002115 |
| Provider Name | Riba Eshanzada |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942753157 PECOS PAC ID: 8325413230 Enrollment ID: I20230406001988 |
| Provider Name | Madi Franck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841747888 PECOS PAC ID: 3476928128 Enrollment ID: I20230411000958 |
| Provider Name | Karoweso Chipendo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881095503 PECOS PAC ID: 0547583320 Enrollment ID: I20230411001470 |
| Provider Name | Rachel Hamilton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467785535 PECOS PAC ID: 8426423120 Enrollment ID: I20230411002843 |
| Provider Name | Anne W. Silber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629223391 PECOS PAC ID: 9032584743 Enrollment ID: I20230411003090 |
| Provider Name | Lawrence Marcucci |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598916934 PECOS PAC ID: 2365817913 Enrollment ID: I20230412001788 |
| Provider Name | Evan Dunn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417540204 PECOS PAC ID: 2365817921 Enrollment ID: I20230412002319 |
| Provider Name | Shannon Mong |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992725451 PECOS PAC ID: 6103291778 Enrollment ID: I20230412002867 |
| Provider Name | Marion Ann Rose Kvasnicka |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770079626 PECOS PAC ID: 2961877543 Enrollment ID: I20230413000341 |
| Provider Name | Frankie Marie Morris-dadzie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649886540 PECOS PAC ID: 2769857358 Enrollment ID: I20230413000404 |
| Provider Name | Ashley Robinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558806950 PECOS PAC ID: 8729453337 Enrollment ID: I20230413001437 |
| Provider Name | Yoana L Rivas Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144931585 PECOS PAC ID: 4789059221 Enrollment ID: I20230413003058 |
| Provider Name | Jesus Leyva |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093950982 PECOS PAC ID: 0840665386 Enrollment ID: I20230414000021 |
| Provider Name | Jillana Joy Mccray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528627098 PECOS PAC ID: 5991104739 Enrollment ID: I20230418000678 |
| Provider Name | Leroy Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780395244 PECOS PAC ID: 5395110639 Enrollment ID: I20230418002798 |
| Provider Name | Brendan Kearns |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811683121 PECOS PAC ID: 6305201583 Enrollment ID: I20230421000923 |
| Provider Name | Migdalia Villafane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104044452 PECOS PAC ID: 6305201500 Enrollment ID: I20230421001994 |
| Provider Name | Alejandra Vega |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043961733 PECOS PAC ID: 1052776218 Enrollment ID: I20230424001451 |
| Provider Name | Albert Vasquez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407393671 PECOS PAC ID: 0840655858 Enrollment ID: I20230426002344 |
| Provider Name | Guisela Carrera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922498047 PECOS PAC ID: 4880059898 Enrollment ID: I20230426002704 |
| Provider Name | Cory Raymond Sullivan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275069577 PECOS PAC ID: 4587029418 Enrollment ID: I20230428001526 |
| Provider Name | Brandon Washington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356933196 PECOS PAC ID: 4486019320 Enrollment ID: I20230428002100 |
| Provider Name | Geoffrey Paul Bork |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720677859 PECOS PAC ID: 5698130474 Enrollment ID: I20230501000934 |
| Provider Name | Rhonda Okonkwo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104135813 PECOS PAC ID: 2264897909 Enrollment ID: I20230502000570 |
| Provider Name | Rayven Battles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790153666 PECOS PAC ID: 2163887852 Enrollment ID: I20230502003159 |
| Provider Name | Aisha Resha Mitchell Washington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336497791 PECOS PAC ID: 7315219615 Enrollment ID: I20230503000978 |
| Provider Name | Sandra Chaiday-cabrera |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972691525 PECOS PAC ID: 4183089626 Enrollment ID: I20230505000088 |
| Provider Name | Susan Irene Forer-dehrey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972250165 PECOS PAC ID: 9335505676 Enrollment ID: I20230511003083 |
| Provider Name | Angie Susana Pelletier-juarez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275883084 PECOS PAC ID: 9830555002 Enrollment ID: I20230512000924 |
| Provider Name | Leann Zouberi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225554546 PECOS PAC ID: 7416209606 Enrollment ID: I20230512002396 |
| Provider Name | Blake Kerr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962621078 PECOS PAC ID: 8628434735 Enrollment ID: I20230516001511 |
| Provider Name | Devra Margolin Richman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578883088 PECOS PAC ID: 9436515251 Enrollment ID: I20230522001864 |
| Provider Name | Devante Lasean Jewett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962998294 PECOS PAC ID: 1951767672 Enrollment ID: I20230522002342 |
| Provider Name | Kortni Taulbee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326782608 PECOS PAC ID: 9638554355 Enrollment ID: I20230522002572 |
| Provider Name | Robert Black |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568700904 PECOS PAC ID: 3476919135 Enrollment ID: I20230523000187 |
| Provider Name | Catherine Anne Mccoy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588387120 PECOS PAC ID: 9739545286 Enrollment ID: I20230525001787 |
| Provider Name | Anna Aper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184191033 PECOS PAC ID: 1759747231 Enrollment ID: I20230525003058 |
| Provider Name | Jennifer Gardiner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942956594 PECOS PAC ID: 8628435195 Enrollment ID: I20230530000871 |
| Provider Name | Kalvin Kapoor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861829392 PECOS PAC ID: 2163788902 Enrollment ID: I20230530001860 |
| Provider Name | Natasha Posey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780191882 PECOS PAC ID: 8820455108 Enrollment ID: I20230531003156 |
| Provider Name | Diane Lynn Foster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972771640 PECOS PAC ID: 1254798564 Enrollment ID: I20230601000436 |
| Provider Name | Crystal Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063021574 PECOS PAC ID: 9032576368 Enrollment ID: I20230601001022 |
| Provider Name | Davis Lo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710434279 PECOS PAC ID: 1355708686 Enrollment ID: I20230601001230 |
| Provider Name | Austin Dean Nystrom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861048928 PECOS PAC ID: 8628435740 Enrollment ID: I20230606000918 |
| Provider Name | Ramon Ortega-caballero |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104189364 PECOS PAC ID: 3678930617 Enrollment ID: I20230606002071 |
| Provider Name | Brenda Jeanette Cisneros |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700253317 PECOS PAC ID: 7416314422 Enrollment ID: I20230607000755 |
| Provider Name | Olga Garay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801914296 PECOS PAC ID: 7113384132 Enrollment ID: I20230607001387 |
| Provider Name | Georgina Kasih |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467920108 PECOS PAC ID: 4688031610 Enrollment ID: I20230607001690 |
| Provider Name | Jennifer Little |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295063196 PECOS PAC ID: 4587981998 Enrollment ID: I20230612000736 |
| Provider Name | Maneka Cooper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295282382 PECOS PAC ID: 2163889817 Enrollment ID: I20230612001188 |
| Provider Name | Claire G Pichel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538866298 PECOS PAC ID: 2567829138 Enrollment ID: I20230613002477 |
| Provider Name | Graciela M Rougier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124555743 PECOS PAC ID: 7517325483 Enrollment ID: I20230626000539 |
| Provider Name | Marcela Cervera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467149161 PECOS PAC ID: 4385002120 Enrollment ID: I20230626003181 |
| Provider Name | Miaoyun Chen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164062030 PECOS PAC ID: 7618336330 Enrollment ID: I20230628003756 |
| Provider Name | Ezkiel Griffin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407219116 PECOS PAC ID: 9931568664 Enrollment ID: I20230628003993 |
| Provider Name | Felicia Megdal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619340924 PECOS PAC ID: 8820457203 Enrollment ID: I20230703000655 |
| Provider Name | Katherine Manon Roper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952432148 PECOS PAC ID: 1153780556 Enrollment ID: I20230703001625 |
| Provider Name | Sylvia Darlene Joyner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962090407 PECOS PAC ID: 3779942180 Enrollment ID: I20230703002128 |
| Provider Name | Tanya Marcella Schuet |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164823290 PECOS PAC ID: 5294194569 Enrollment ID: I20230705001035 |
| Provider Name | Phillip Michael Guttmann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689176448 PECOS PAC ID: 6608235916 Enrollment ID: I20230705002454 |
| Provider Name | Clint Edwards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821467705 PECOS PAC ID: 5799144184 Enrollment ID: I20230706000297 |
| Provider Name | Kaila Malane Morrison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801553268 PECOS PAC ID: 5496114613 Enrollment ID: I20230706002926 |
| Provider Name | Perynn Dalba |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265129191 PECOS PAC ID: 8628437852 Enrollment ID: I20230706003526 |
| Provider Name | Heather Burroughs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891001004 PECOS PAC ID: 0244413631 Enrollment ID: I20230710002273 |
| Provider Name | Sara Morrow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316420136 PECOS PAC ID: 9638539497 Enrollment ID: I20230712003033 |
| Provider Name | Valerie Handlers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134326531 PECOS PAC ID: 9830559616 Enrollment ID: I20230712003782 |
| Provider Name | Tenya Newman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568749380 PECOS PAC ID: 3678933942 Enrollment ID: I20230718002902 |
| Provider Name | Josue Daniel Cortes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477125656 PECOS PAC ID: 1254791411 Enrollment ID: I20230719002262 |
| Provider Name | Alberto Campos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730669193 PECOS PAC ID: 0648630798 Enrollment ID: I20230720001884 |
| Provider Name | Evelyn Nankanja |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386140549 PECOS PAC ID: 8628439544 Enrollment ID: I20230725002204 |
| Provider Name | Ladarien Jarey Gillins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104462175 PECOS PAC ID: 4385005941 Enrollment ID: I20230728001402 |
| Provider Name | Trinh Thi Reyes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801028642 PECOS PAC ID: 3870954258 Enrollment ID: I20230801004107 |
| Provider Name | Shay Groenewold |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013201433 PECOS PAC ID: 2264893536 Enrollment ID: I20230802003451 |
| Provider Name | Amber Hill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073767729 PECOS PAC ID: 1355702416 Enrollment ID: I20230804003040 |
| Provider Name | Megan Reily |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366090342 PECOS PAC ID: 0941661920 Enrollment ID: I20230808000057 |
| Provider Name | Amber Mckinney-morgan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003330705 PECOS PAC ID: 0244692002 Enrollment ID: I20230811000279 |
| Provider Name | Christina Rheingold |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740303726 PECOS PAC ID: 0840652566 Enrollment ID: I20230811003264 |
| Provider Name | Jennifer Hattar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699103788 PECOS PAC ID: 5092177675 Enrollment ID: I20230814002664 |
| Provider Name | Anna Josie Swift |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528409307 PECOS PAC ID: 6507228103 Enrollment ID: I20230814003924 |
| Provider Name | Asher Denise Lutz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093364465 PECOS PAC ID: 8729440359 Enrollment ID: I20230815001001 |
| Provider Name | Carla Bryant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194030015 PECOS PAC ID: 1658733043 Enrollment ID: I20230816004386 |
| Provider Name | Pamela Nsoroma Alyce James |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447658547 PECOS PAC ID: 6507228806 Enrollment ID: I20230818000615 |
| Provider Name | Stephanie Gae Delange |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801084397 PECOS PAC ID: 0648632877 Enrollment ID: I20230818002398 |
| Provider Name | Bristol Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346641453 PECOS PAC ID: 0547622706 Enrollment ID: I20230821000422 |
| Provider Name | Carly Elizabeth Stern |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043726938 PECOS PAC ID: 6507228764 Enrollment ID: I20230821000637 |
| Provider Name | Ranecia Jean Cormier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225596687 PECOS PAC ID: 8022471036 Enrollment ID: I20230823004131 |
| Provider Name | Joann Lynn Sanford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508076845 PECOS PAC ID: 1557724424 Enrollment ID: I20230824002534 |
| Provider Name | Sarah Cable |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417462490 PECOS PAC ID: 5890158711 Enrollment ID: I20230825000211 |
| Provider Name | Christene Waldman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659542470 PECOS PAC ID: 5092115949 Enrollment ID: I20230829003447 |
| Provider Name | Lus Oralia Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174076723 PECOS PAC ID: 5395108971 Enrollment ID: I20230830000318 |
| Provider Name | Jamie Marina Flores |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235648080 PECOS PAC ID: 0042673667 Enrollment ID: I20230830001980 |
| Provider Name | Genaye Ladousier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851598726 PECOS PAC ID: 7911310107 Enrollment ID: I20230831000209 |
| Provider Name | Deandra Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922483338 PECOS PAC ID: 8527421015 Enrollment ID: I20230831000908 |
| Provider Name | Kristen K Tachiki |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194472654 PECOS PAC ID: 0648633974 Enrollment ID: I20230901002975 |
| Provider Name | Gloria Leticia Rojas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619126018 PECOS PAC ID: 4082077292 Enrollment ID: I20230905002853 |
| Provider Name | Stephanie Hardison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104250190 PECOS PAC ID: 8426411612 Enrollment ID: I20230906001694 |
| Provider Name | Nicole Ventour |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619230786 PECOS PAC ID: 6507019783 Enrollment ID: I20230907001193 |
| Provider Name | Marcela Roldan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801924667 PECOS PAC ID: 5890161384 Enrollment ID: I20230912002222 |
| Provider Name | Edward Quintana |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679807697 PECOS PAC ID: 8527422344 Enrollment ID: I20230913000771 |
| Provider Name | Meghan Forsyth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417399718 PECOS PAC ID: 2961860333 Enrollment ID: I20230913000830 |
| Provider Name | Jeanette Buller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639538556 PECOS PAC ID: 0143684985 Enrollment ID: I20230913001268 |
| Provider Name | Teresa Michelle Vera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801147616 PECOS PAC ID: 1355705013 Enrollment ID: I20230913002595 |
| Provider Name | Shawna Bramel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083123855 PECOS PAC ID: 1658735295 Enrollment ID: I20230914002151 |
| Provider Name | Andrea Irvine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083225734 PECOS PAC ID: 1456715986 Enrollment ID: I20230915001970 |
| Provider Name | Aisha Cunningham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811346489 PECOS PAC ID: 2264896778 Enrollment ID: I20230918002110 |
| Provider Name | Felix A Geller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902073216 PECOS PAC ID: 2163672684 Enrollment ID: I20230918002187 |
| Provider Name | Jose Yair Torres Campos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588099634 PECOS PAC ID: 5294199642 Enrollment ID: I20230918004069 |
| Provider Name | Jennifer Leann Roy-pogutter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710760210 PECOS PAC ID: 7517311806 Enrollment ID: I20230920001255 |
| Provider Name | Riham Khaled Haddad |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811127343 PECOS PAC ID: 4587018825 Enrollment ID: I20230920003332 |
| Provider Name | Melissa Ann Lehrich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962698787 PECOS PAC ID: 6406200534 Enrollment ID: I20230922003742 |
| Provider Name | Camille Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316499528 PECOS PAC ID: 0648624775 Enrollment ID: I20230923000101 |
| Provider Name | Jennifer Govea |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487197927 PECOS PAC ID: 7012361975 Enrollment ID: I20230926002322 |
| Provider Name | Jenna Darlington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093320657 PECOS PAC ID: 5092169912 Enrollment ID: I20230927000424 |
| Provider Name | Rhianna Munguia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275211120 PECOS PAC ID: 5395199020 Enrollment ID: I20230928001204 |
| Provider Name | Michelle L Ellerbee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811547193 PECOS PAC ID: 5294189932 Enrollment ID: I20230928001615 |
| Provider Name | Karre Kern |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922364991 PECOS PAC ID: 2163834383 Enrollment ID: I20230928004101 |
| Provider Name | Diana Gruhl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851024947 PECOS PAC ID: 7315329158 Enrollment ID: I20230929001444 |
| Provider Name | Sean Thomas O'connor |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1881232999 PECOS PAC ID: 4880048313 Enrollment ID: I20231002002168 |
| Provider Name | Krystal D Fortner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588990378 PECOS PAC ID: 0941654354 Enrollment ID: I20231003002402 |
| Provider Name | Kelley D Mccullough |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104558048 PECOS PAC ID: 1153775572 Enrollment ID: I20231003002756 |
| Provider Name | Michelle S Enriquez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144810771 PECOS PAC ID: 7315391745 Enrollment ID: I20231003003320 |
| Provider Name | Susana Andrade |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548398977 PECOS PAC ID: 3072967413 Enrollment ID: I20231003003720 |
| Provider Name | Kimberly Clayton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023261005 PECOS PAC ID: 9537514922 Enrollment ID: I20231004001796 |
| Provider Name | Alexandria Steely |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669032397 PECOS PAC ID: 4688029093 Enrollment ID: I20231004002842 |
| Provider Name | Arrionne Christine Aguilar Taitague |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164782710 PECOS PAC ID: 9234584574 Enrollment ID: I20231006001380 |
| Provider Name | Maureen Dolana Tyra |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598949208 PECOS PAC ID: 3971661869 Enrollment ID: I20231009002701 |
| Provider Name | Angela Dee Gunn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194092007 PECOS PAC ID: 9638524630 Enrollment ID: I20231011002228 |
| Provider Name | Sabrina Thurman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962971515 PECOS PAC ID: 0446605471 Enrollment ID: I20231011003755 |
| Provider Name | Jennafer Provinse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346558772 PECOS PAC ID: 6901251891 Enrollment ID: I20231012002250 |
| Provider Name | Elizabeth Arredondo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275310757 PECOS PAC ID: 6406201250 Enrollment ID: I20231013001248 |
| Provider Name | Robyn Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285368597 PECOS PAC ID: 4981059631 Enrollment ID: I20231016002142 |
| Provider Name | Cheryl Polyudhapoom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699220509 PECOS PAC ID: 1153776679 Enrollment ID: I20231018001156 |
| Provider Name | Michael Annoreno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083056634 PECOS PAC ID: 4981059474 Enrollment ID: I20231018004144 |
| Provider Name | Monica M Courtney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316379621 PECOS PAC ID: 9335595743 Enrollment ID: I20231020002130 |
| Provider Name | Angela Jenkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194167205 PECOS PAC ID: 1951757152 Enrollment ID: I20231024003573 |
| Provider Name | Shirldawn Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417561788 PECOS PAC ID: 9931555810 Enrollment ID: I20231030000227 |
| Provider Name | Rafaela Fadda |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568145647 PECOS PAC ID: 1355797259 Enrollment ID: I20231030001421 |
| Provider Name | Adam Deforest Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619756145 PECOS PAC ID: 4486000395 Enrollment ID: I20231030001727 |
| Provider Name | Sherri Pierce |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609398759 PECOS PAC ID: 5092161919 Enrollment ID: I20231030002319 |
| Provider Name | Ericka White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598965147 PECOS PAC ID: 7911353610 Enrollment ID: I20231101002711 |
| Provider Name | Vierre Stevenson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639635428 PECOS PAC ID: 8628424256 Enrollment ID: I20231102000251 |
| Provider Name | Carl Fuller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811389943 PECOS PAC ID: 6709232382 Enrollment ID: I20231102002612 |
| Provider Name | Ashley Skinner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508376609 PECOS PAC ID: 0244590941 Enrollment ID: I20231102002754 |
| Provider Name | Karen Kobliska |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679037733 PECOS PAC ID: 9537574553 Enrollment ID: I20231107001206 |
| Provider Name | Marleny Pena |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861875395 PECOS PAC ID: 8527415736 Enrollment ID: I20231109002192 |
| Provider Name | Judith Copeland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215213541 PECOS PAC ID: 5698122778 Enrollment ID: I20231110001866 |
| Provider Name | Shirley Summers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467891655 PECOS PAC ID: 9234293663 Enrollment ID: I20231110002455 |
| Provider Name | Vanessa Melchor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275052912 PECOS PAC ID: 6305293341 Enrollment ID: I20231113001422 |
| Provider Name | Amy Buchanan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861940165 PECOS PAC ID: 5395191829 Enrollment ID: I20231114000098 |
| Provider Name | Dana E Barajas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619251881 PECOS PAC ID: 2668829375 Enrollment ID: I20231116002514 |
| Provider Name | Kesha Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710657325 PECOS PAC ID: 1951759661 Enrollment ID: I20231117003104 |
| Provider Name | Jessica L Dennis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477044295 PECOS PAC ID: 8325496987 Enrollment ID: I20231121001768 |
| Provider Name | Melissa Servin Fuentes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396437042 PECOS PAC ID: 8820446230 Enrollment ID: I20231126000101 |
| Provider Name | Stephanie Hounnou |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710451638 PECOS PAC ID: 1254789027 Enrollment ID: I20231205001181 |
| Provider Name | William Lambos |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316361520 PECOS PAC ID: 6507230042 Enrollment ID: I20231206002205 |
| Provider Name | Laura Shames |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063660397 PECOS PAC ID: 3779704986 Enrollment ID: I20231212000892 |
| Provider Name | Jessica Coreen Ayala |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972807261 PECOS PAC ID: 7012366909 Enrollment ID: I20231218003739 |
| Provider Name | Natalia Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902678618 PECOS PAC ID: 3375993223 Enrollment ID: I20231219001910 |
| Provider Name | Celida Vasquez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225652159 PECOS PAC ID: 6901256676 Enrollment ID: I20231220003417 |
| Provider Name | Haruyo Nishimura |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487029567 PECOS PAC ID: 3870943558 Enrollment ID: I20231220003602 |
| Provider Name | Marianna Birdsong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992176788 PECOS PAC ID: 9234589888 Enrollment ID: I20231222002285 |
| Provider Name | Sari W Zuccarino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982155800 PECOS PAC ID: 0749630226 Enrollment ID: I20231224000074 |
| Provider Name | Natalie Madriz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346542156 PECOS PAC ID: 2668822966 Enrollment ID: I20231228003510 |
| Provider Name | Elmira Maffei |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851978704 PECOS PAC ID: 8426457151 Enrollment ID: I20231228003739 |
| Provider Name | Angela Linsenmeyer-acklin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215310958 PECOS PAC ID: 4385094432 Enrollment ID: I20240102001697 |
| Provider Name | Larissa Tekerian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710469622 PECOS PAC ID: 1658721659 Enrollment ID: I20240102004041 |
| Provider Name | Jasmin Vilchis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871960963 PECOS PAC ID: 0042660011 Enrollment ID: I20240103002301 |
| Provider Name | Walter Bowles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689249443 PECOS PAC ID: 9032569017 Enrollment ID: I20240103002638 |
| Provider Name | Judith Burkle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306267273 PECOS PAC ID: 5092032524 Enrollment ID: I20240103002986 |
| Provider Name | Shelley-anne Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083494736 PECOS PAC ID: 4688025513 Enrollment ID: I20240104003975 |
| Provider Name | Andrew Hughes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558718403 PECOS PAC ID: 1153772835 Enrollment ID: I20240106000447 |
| Provider Name | Jacquelyn Denise Najera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063091858 PECOS PAC ID: 5597116194 Enrollment ID: I20240108006093 |
| Provider Name | Mariel Ross |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417404450 PECOS PAC ID: 4981055464 Enrollment ID: I20240109002828 |
| Provider Name | Michelle Harring |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073766754 PECOS PAC ID: 7315398716 Enrollment ID: I20240110002641 |
| Provider Name | Susanna Curry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043867674 PECOS PAC ID: 6103277421 Enrollment ID: I20240110003992 |
| Provider Name | Taneil Green-wood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639402720 PECOS PAC ID: 8729439393 Enrollment ID: I20240110004145 |
| Provider Name | Alicia Gilliam |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851061295 PECOS PAC ID: 9537510888 Enrollment ID: I20240110004879 |
| Provider Name | Fides Isidro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427276013 PECOS PAC ID: 8325430937 Enrollment ID: I20240112003873 |
| Provider Name | Erika Lynn Alex |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407404809 PECOS PAC ID: 4284086315 Enrollment ID: I20240114000191 |
| Provider Name | Dana Cook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659558252 PECOS PAC ID: 0143639534 Enrollment ID: I20240115001403 |
| Provider Name | Diana Cruz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518228873 PECOS PAC ID: 8921450149 Enrollment ID: I20240123003346 |
| Provider Name | Alina Antonyants |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295043024 PECOS PAC ID: 5991158115 Enrollment ID: I20240124001753 |
| Provider Name | Anthony Robinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619571882 PECOS PAC ID: 8921466970 Enrollment ID: I20240124003027 |
| Provider Name | Sarah Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811332091 PECOS PAC ID: 1658649819 Enrollment ID: I20240125001797 |
| Provider Name | Sean Ferri |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588440069 PECOS PAC ID: 7113370230 Enrollment ID: I20240126002160 |
| Provider Name | Kylie Greene |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336917566 PECOS PAC ID: 8628421476 Enrollment ID: I20240127000646 |
| Provider Name | Briana Ahmed |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750152849 PECOS PAC ID: 6305299769 Enrollment ID: I20240201001665 |
| Provider Name | Micah Alizandra Gamez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770990202 PECOS PAC ID: 1759734114 Enrollment ID: I20240201001675 |
| Provider Name | Robin Anita Alfaro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457691578 PECOS PAC ID: 3577916949 Enrollment ID: I20240201002029 |
| Provider Name | Ute Kollath |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790220259 PECOS PAC ID: 0143673517 Enrollment ID: I20240201002270 |
| Provider Name | Melissa Lynn Starrett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831402262 PECOS PAC ID: 1951754266 Enrollment ID: I20240201003926 |
| Provider Name | Irma Moreno Montelongo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760715296 PECOS PAC ID: 2466895784 Enrollment ID: I20240202003456 |
| Provider Name | Ashley Block |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992088512 PECOS PAC ID: 7517300841 Enrollment ID: I20240202004010 |
| Provider Name | Jeffrey Louis Tinius |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497388433 PECOS PAC ID: 6507209889 Enrollment ID: I20240205001066 |
| Provider Name | Sean Christopher Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326437641 PECOS PAC ID: 8426491689 Enrollment ID: I20240205004026 |
| Provider Name | Catherine Elizabeth Thiel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134569791 PECOS PAC ID: 7719320977 Enrollment ID: I20240205004304 |
| Provider Name | David D Shepard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770779795 PECOS PAC ID: 1153764329 Enrollment ID: I20240205004397 |
| Provider Name | Manuel Joseph Perez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225607013 PECOS PAC ID: 6901249077 Enrollment ID: I20240206000503 |
| Provider Name | Marie Stephanie Mohapp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285419408 PECOS PAC ID: 6204279383 Enrollment ID: I20240206000789 |
| Provider Name | Tram Vu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275716532 PECOS PAC ID: 6608115332 Enrollment ID: I20240206001398 |
| Provider Name | Cathryn Pomeroy Gaty-delia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588399067 PECOS PAC ID: 4880037852 Enrollment ID: I20240206004178 |
| Provider Name | Tamara Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396860086 PECOS PAC ID: 3274872981 Enrollment ID: I20240207004162 |
| Provider Name | Angelica Campos Gonzales |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962810705 PECOS PAC ID: 4981047750 Enrollment ID: I20240208001993 |
| Provider Name | Rachel Marine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619556883 PECOS PAC ID: 2961855804 Enrollment ID: I20240208002550 |
| Provider Name | Heidi De Leon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528472057 PECOS PAC ID: 2860835691 Enrollment ID: I20240208003624 |
| Provider Name | Lewis L Canyon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265714125 PECOS PAC ID: 4587007273 Enrollment ID: I20240209001365 |
| Provider Name | Wendy Daniella Gomez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821376062 PECOS PAC ID: 8325481948 Enrollment ID: I20240209002721 |
| Provider Name | Libna Campos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770352171 PECOS PAC ID: 4284077819 Enrollment ID: I20240209003263 |
| Provider Name | Roopa Cantu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417368358 PECOS PAC ID: 1658714290 Enrollment ID: I20240209003625 |
| Provider Name | Natalie Rojano Jenkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093943011 PECOS PAC ID: 2264875863 Enrollment ID: I20240212000893 |
| Provider Name | Edouard Niedenthal Duret |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740680909 PECOS PAC ID: 4587007000 Enrollment ID: I20240212001812 |
| Provider Name | Dana Sperling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326819194 PECOS PAC ID: 8628411121 Enrollment ID: I20240212004386 |
| Provider Name | Kanika Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245773860 PECOS PAC ID: 5496198103 Enrollment ID: I20240213003040 |
| Provider Name | Arlene Klein Unger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508961863 PECOS PAC ID: 9537503941 Enrollment ID: I20240213004262 |
| Provider Name | Yessenia Ordaz Aguirre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659880664 PECOS PAC ID: 9335583756 Enrollment ID: I20240213004786 |
| Provider Name | Courtney Jean Uppendahl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558796854 PECOS PAC ID: 2668816943 Enrollment ID: I20240214002211 |
| Provider Name | Cynthia Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053607069 PECOS PAC ID: 8820355357 Enrollment ID: I20240214002863 |
| Provider Name | David Depadua Delos Reyes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225654288 PECOS PAC ID: 4183068281 Enrollment ID: I20240216001523 |
| Provider Name | Tatavia Butler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629311394 PECOS PAC ID: 3476997461 Enrollment ID: I20240217000708 |
| Provider Name | Alina Whitmore |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033447339 PECOS PAC ID: 8729422688 Enrollment ID: I20240219002391 |
| Provider Name | Micah Gargala |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033714530 PECOS PAC ID: 2163867458 Enrollment ID: I20240226004169 |
| Provider Name | Kayla Burge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588116974 PECOS PAC ID: 6507201746 Enrollment ID: I20240228000810 |
| Provider Name | Naida Ishamar Cruz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134872773 PECOS PAC ID: 1456733146 Enrollment ID: I20240229000003 |
| Provider Name | Wayne Munchel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083734503 PECOS PAC ID: 4486099462 Enrollment ID: I20240229001449 |
| Provider Name | Monica Freire |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477649572 PECOS PAC ID: 7719322791 Enrollment ID: I20240229001571 |
| Provider Name | Cassandra Brittany Mejia-lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386133916 PECOS PAC ID: 1153766001 Enrollment ID: I20240229004554 |
| Provider Name | Meta Petty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801377189 PECOS PAC ID: 1658615018 Enrollment ID: I20240301003687 |
| Provider Name | Chelsey Reese |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770051211 PECOS PAC ID: 2668817396 Enrollment ID: I20240304002020 |
| Provider Name | Lauren Ball |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568013399 PECOS PAC ID: 3375988017 Enrollment ID: I20240304002135 |
| Provider Name | Adela Tinoco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417590241 PECOS PAC ID: 8527403120 Enrollment ID: I20240305000476 |
| Provider Name | Ryan Magno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336338920 PECOS PAC ID: 0547605198 Enrollment ID: I20240305002328 |
| Provider Name | Carrie Mcelwee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467934190 PECOS PAC ID: 9335585785 Enrollment ID: I20240308000039 |
| Provider Name | Carlisha Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912496944 PECOS PAC ID: 6709222078 Enrollment ID: I20240308000979 |
| Provider Name | Devida Crawford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508226184 PECOS PAC ID: 5799139721 Enrollment ID: I20240311001174 |
| Provider Name | Brandee Able |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689137226 PECOS PAC ID: 1557707452 Enrollment ID: I20240314000769 |
| Provider Name | Sarah Weeden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831245026 PECOS PAC ID: 0749626562 Enrollment ID: I20240314002074 |
N/a Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2625 Zanker Rd, 101, San Jose, CA 95134 Phone: 408-325-5230 Fax: 408-944-0468 | |
Bay Area Children's Association Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1175 Saratoga Ave, Suite 14, San Jose, CA 95129 Phone: 408-996-7950 Fax: 408-996-7997 | |
Lauren Capano Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3970 The Woods Dr, Apt. 524, San Jose, CA 95136 Phone: 646-761-8982 | |
Alum Rock Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 277 Mahoney Dr, San Jose, CA 95127 Phone: 408-240-0070 | |
Abode Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1690 Southwest Expy, San Jose, CA 95126 Phone: 510-270-1150 | |
Harmeet S Sachdev Md Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2516 Samaritan Dr Ste E, San Jose, CA 95124 Phone: 408-356-2164 Fax: 408-356-1044 | |
Alliance Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1040 Lincoln Ave, San Jose, CA 95125 Phone: 408-293-4489 Fax: 408-293-6188 |