MS. JOANNE CAROL ETHERIDGE (NPI# 1003111717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003111717 |
| Entity Type | Individual |
| Full Name | MS. JOANNE CAROL ETHERIDGE |
| Credential | LCSW |
| Practice Address |
31625 Highway 101 S Soledad CA 93960-9529 |
| Practice Telephone | 8316785500 |
| Mailing Telephone | 8316785500 |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2011-01-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCS 8855 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | ANTHEM BLUE CROSS | CPR702A51404 | 01 |
| Street Address |
31625 HIGHWAY 101 S |
| City | SOLEDAD |
| State | CA |
| Zip Code | 93960-9529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962491639 | Sheva Teresa Nickravesh | Dentist | 31625 Highway 101 S, Soledad, CA 93960-9529 | 2005-10-17 |
| 1255846093 | Kim Goldman | Psychologist | 31625 Highway 101 S, Soledad, CA 93960-9529 | 2017-12-01 |
| 1588183172 | Anthony Giabao Ha | Pharmacist | 31625 Highway 101 S, Soledad, CA 93960-9529 | 2017-09-14 |
| 1285163592 | Marissa J Machado | Psychologist | 31625 Highway 101 S, Soledad, CA 93960-9529 | 2017-06-08 |
| 1437685849 | Alexander Leslie Black Jr. | Contractor | 31625 Highway 101 S, Soledad, CA 93960-9529 | 2017-05-04 |
| 1801257902 | Tami Lyn Leffler | Social Worker | 31625 Highway 101 S, Soledad, CA 93960-9529 | 2016-03-16 |
| 1982065082 | Joseph Claybaugh | Psychologist | 31625 Highway 101 S, Soledad, CA 93960-9529 | 2016-03-16 |
| 1710307822 | Randulf Villanueva Erguiza | Nurse Practitioner | 31625 Highway 101 S, Soledad, CA 93960-9529 | 2014-04-16 |
| 1891038154 | Shannon Murray | Psychologist | 31625 Highway 101 S, Soledad, CA 93960-9529 | 2013-04-04 |
| 1992055545 | Emily Moresco | Psychologist | 31625 Highway 101 S, Soledad, CA 93960-9529 | 2012-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528621091 | Miriam Lorena Rios | Counselor | 2167-h De La Rosa St, Soledad, CA 93960 | 2019-04-19 |
| 1972093169 | Rashelle Jeannette Dadula | Assistant Behavior Analyst | 605 Asilomar Ave., Soledad, CA 93960 | 2018-05-14 |
| 1205326659 | Rebecca L Pilgrim | Nurse Practitioner | Us 101, Soledad, CA 93960 | 2018-05-11 |
| 1932630720 | Joycelyn A Mendoza | Dietitian, Registered | 355 Gabilan St., Soledad, CA 93960 | 2017-03-23 |
| 1912449505 | Christine Kregg | Social Worker | U.S. Highway 101 North, Correctional Training Facility, Soledad, CA 93960 | 2016-11-14 |
| 1356684088 | Kiet Quoc Le | Pharmacist | Hwy 101 N, Soledad, CA 93960 | 2013-04-01 |
| 1063753226 | Matthew Wynn | Psychologist | Highway 101 N, California Correctional Facility Soledad, Soledad, CA 93960 | 2013-03-12 |
| 1326390097 | Raha Yavari | Psychologist | 31625 Us Highway 101, Soledad, CA 93960 | 2012-10-05 |
| 1609005321 | Mitzi Doreen Baladiang Balbona | Family Medicine | Us Hwy 101s, California, CA 93960 | 2009-07-02 |
| 1093977076 | Gbenga Akinyemi | Social Worker | 31625 High Way 101, Salinas Valley Psychiatric Program, Soledad, CA 93960 | 2008-06-30 |
| Find all providers in zip 93960 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912449505 | Christine Kregg | Social Worker | U.S. Highway 101 North, Correctional Training Facility, Soledad, CA 93960 | 2016-11-14 |
| 1093977076 | Gbenga Akinyemi | Social Worker | 31625 High Way 101, Salinas Valley Psychiatric Program, Soledad, CA 93960 | 2008-06-30 |
| 1780231274 | April Mechel Garcia | Social Worker | 31625 U.S. 101, Soledad, CA 93960 | 2019-08-20 |
| 1578926150 | Maeve Kennedy Gormly | Social Worker | Highway 101 North, Soledad, CA 93960 | 2016-04-01 |
| 1801257902 | Tami Lyn Leffler | Social Worker | 31625 Highway 101 S, Soledad, CA 93960-9529 | 2016-03-16 |
| 1932446036 | Joanne Julien | Social Worker | Highway 101 North, Soledad, CA 93960 | 2013-01-09 |
| 1225303118 | Patrick Erin Barnes | Social Worker | 31625 Highway 101 S, Soledad, CA 93960-9529 | 2012-03-12 |
| 1922384668 | Breanna L Ribeira | Social Worker | 31625 Highway 101 S, Soledad, CA 93960-9529 | 2011-10-26 |
| 1972885390 | Helen Haekyeong Jew | Social Worker | 31625 Highway 101 S, Soledad, CA 93960-9529 | 2011-09-12 |
| 1841598679 | Vanessa L Jones | Social Worker | 31625 Highway 101 S, Soledad, CA 93960-9529 | 2011-03-02 |
| Find all providers in SOLEDAD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.