KELLI EVELYN ENSMAN (NPI# 1033407747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033407747 |
| Entity Type | Individual |
| Full Name | KELLI EVELYN ENSMAN |
| Credential | LCSW |
| Practice Address |
850 East Foothill Blvd Rialto CA 92376 |
| Mailing Address |
850 E Foothill Blvd Rialto CA 92376-5230 |
| Practice Telephone | 9094214633 |
| Mailing Telephone | 6264841003 |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2019-08-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
87562 | CA | Behavioral Health & Social Service Providers |
| Street Address |
850 EAST FOOTHILL BLVD |
| City | RIALTO |
| State | CA |
| Zip Code | 92376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780141812 | Sochun Operation, Inc. | Assisted Living Facility | 1441 S. Riverside Ave., Rialto, CA 92376 | 2019-02-25 |
| 1487138244 | National Vision Inc | Technician/Technologist | 1175 Renaissance Parkway, Suite 1050, Rialto, CA 92376 | 2018-09-18 |
| 1942780853 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 1205 W Renaissance Pkwy, Suite 240, Rialto, CA 92376 | 2018-08-20 |
| 1114430238 | Li Watkins | Nurse Practitioner | 280 N Riverside Avenue, Rialto, CA 92376 | 2017-11-10 |
| 1346767837 | Imelda Jazmin Ceja Nunez | Behavioral Analyst | 462 E Wilson St, Rialto, CA 92376 | 2017-08-24 |
| 1720505662 | Taylor Sandoval | Behavioral Analyst | 2935 Cardamon St, Rialto, CA 92376 | 2017-08-22 |
| 1427572510 | Danielle Mccree | Physical Therapy Assistant | 1470 N Filmore Ave, Rialto, CA 92376 | 2017-07-31 |
| 1639699952 | Albert Anthony Torres | Specialist/Technologist | 1008 N. Pampas Ave., Rialto, CA 92376 | 2017-06-27 |
| 1124407358 | Miesha Warren | Peer Specialist | 850 East Foothill Bld, Rialto, CA 92376 | 2015-05-20 |
| 1205233483 | Albert Archuleta | Counselor | 1501 Riverside Ave, Rialto, CA 92376 | 2014-12-03 |
| Find all providers in zip 92376 | ||||
| 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 |
|---|---|---|---|---|
| 1477161156 | Sinai Estrada | Social Worker | 1380 N Althea Ave, Rialto, CA 92376-3269 | 2020-07-17 |
| 1760944904 | Pamela Renee Davis | Social Worker | 321 E Erwin St, Rialto, CA 92376-6018 | 2019-04-05 |
| 1174041974 | Ericka Marie Guerrero | Social Worker | 1112 N Althea Ave, Rialto, CA 92376-3284 | 2017-09-01 |
| 1033596150 | Metra Jaberi | Social Worker | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2015-04-27 |
| 1154740967 | Erica Decker | Social Worker | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2014-04-09 |
| 1497188965 | Jonathan Manuel Ortiz | Social Worker | 850 E Foothill Blvd, Rialto, CA 92376-7615 | 2013-08-19 |
| 1902248545 | Jennifer Kristie Guadez | Social Worker | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2013-07-24 |
| 1972865608 | Joanne Solomon | Social Worker | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2012-06-08 |
| 1376809020 | Mark A Daniels | Social Worker | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2012-04-06 |
| 1952679383 | Jeffrey Douglas Kaye | Social Worker | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2011-12-13 |
| Find all providers in RIALTO | ||||
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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.