JACKIE ANN EBBERT (NPI# 1033266796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033266796 |
| Entity Type | Individual |
| Full Name | JACKIE ANN EBBERT |
| Other Name | JACKI ANN EBBERT |
| Practice Address |
175 Bernal Rd Ste 140 San Jose CA 95119-1343 |
| Practice Telephone | 4089723099 |
| Mailing Telephone | 4089723099 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCS10717 | CA | Behavioral Health & Social Service Providers |
| Street Address |
175 BERNAL RD STE 140 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95119-1343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215096052 | Andrew Charles Berger | Psychologist | 175 Bernal Rd Ste 140, San Jose, CA 95119-1343 | 2006-12-07 |
| 1407913759 | Michael Anthony Curry | Social Worker | 175 Bernal Rd Ste 140, San Jose, CA 95119-1343 | 2007-01-03 |
| 1770645939 | Gary James Rezowalli | Psychologist | 175 Bernal Rd Ste 140, San Jose, CA 95119-1343 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922623594 | Julia Angelina Rojas | Rehabilitation Counselor | 298 A Bernal Rd, San Jose, CA 95119 | 2020-06-10 |
| 1609496215 | Kaiser Foundation Hospitals | Pharmacy | 274 International Cir Fl 1 Rm 104, San Jose, CA 95119 | 2020-04-23 |
| 1104451194 | Arthur Warren Hall | Counselor | 298 A Bernal Road, San Jose, CA 95119 | 2020-03-10 |
| 1992264774 | Jennifer Luu | Student in an Organized Health Care Education/Training Program | 276 International Circle Building, 1 - 2nd Floor - Family Medicine Residency Unit G, San Jose, CA 95119 | 2019-03-19 |
| 1194209510 | Victoria Marques | Pharmacist | 275 Hospital Parkway, Suite 625, San Jose, CA 95119 | 2018-09-21 |
| 1780123497 | Costco Wholesale Corporation | Hearing Aid Equipment | 6898 Raleigh Road, San Jose, CA 95119 | 2017-02-14 |
| 1437563855 | Mark Douglas Zukunft | Emergency Medicine | 250 Hospital Pkwy Dept Of, San Jose, CA 95119 | 2014-06-13 |
| 1669896338 | Paul J. Zuchowski Chiropractic, A Professional Corporation | Chiropractor | 6950 Santa Teresa Blvd., Ste.a, San Jose, CA 95119 | 2014-02-14 |
| 1700227873 | Yu-chien Cheng | Internal Medicine | 275 Hospital Pkwy Ste 600, San Jose, CA 95119 | 2013-07-17 |
| 1730432014 | Tami Otomo | Pharmacist | 6201 San Ignacio Ave, San Jose, CA 95119 | 2012-10-24 |
| Find all providers in zip 95119 | ||||
| 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 |
|---|---|---|---|---|
| 1023633708 | Efrat Shemesh Katan | Social Worker | 1025 Wunderlich Dr, San Jose, CA 95129-3159 | 2020-06-09 |
| 1982227138 | Ruth Larsen | Social Worker | 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 | 2020-05-22 |
| 1083236905 | Carey Gil | Social Worker | 1885 The Alameda Ste 120, San Jose, CA 95126-1732 | 2020-05-13 |
| 1912555996 | Marie Danh | Social Worker | 701 Miller St, San Jose, CA 95110-2121 | 2019-09-03 |
| 1194203497 | Janet Caudillo | Social Worker | 373 W Julian St, San Jose, CA 95110-2319 | 2018-07-30 |
| 1699267971 | Wendy Shapiro | Social Worker | 1245 S Winchester Blvd Ste 306, San Jose, CA 95128-3908 | 2018-06-03 |
| 1871099523 | Elisse Reyna | Social Worker | 2670 S White Rd Ste 170, San Jose, CA 95148-2071 | 2018-04-02 |
| 1487166062 | Giorgio Andrea Quittan I | Social Worker | 1046 W Taylor St Ste 204, San Jose, CA 95126-1815 | 2017-11-03 |
| 1942712211 | Zenon Post | Social Worker | 31 N 2nd St # 265, San Jose, CA 95113-1231 | 2017-10-26 |
| 1578010526 | Gayle Peitso | Social Worker | 15780 Highland Dr, San Jose, CA 95127-1741 | 2016-09-07 |
| Find all providers in SAN JOSE | ||||
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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.