PHAEDRA ALLEN (NPI# 1063873305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063873305 |
| Entity Type | Individual |
| Full Name | PHAEDRA ALLEN |
| Practice Address |
5650 Jillson St Commerce CA 90040-1482 |
| Practice Telephone | 3232014516 |
| Mailing Telephone | 3232014516 |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2016-03-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | ASW69311 | CA | Behavioral Health & Social Service Providers |
| Street Address |
5650 JILLSON ST |
| City | COMMERCE |
| State | CA |
| Zip Code | 90040-1482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215206503 | Jwch Institute, Inc. | Clinic/Center | 5650 Jillson St, Commerce, CA 90040 | 2011-12-15 |
| 1225505100 | Genevie Kathleen Esquivel | Counselor | 5650 Jillson St, Commerce, CA 90040 | 2018-10-29 |
| 1699259507 | Charles Derrell Willis | Counselor | 5650 Jillson St, Commerce, CA 90040-1482 | 2018-09-18 |
| 1215411137 | Emily Sara Abraham | Counselor | 5650 Jillson St, Commerce, CA 90040-1482 | 2018-09-17 |
| 1396249421 | Monica Lorene Cody | Counselor | 5650 Jillson St, Commerce, CA 90040-1482 | 2018-03-22 |
| 1144677113 | Eudelina Ortiz Jacobo | Counselor | 5650 Jillson St, Commerce, CA 90040-1482 | 2016-05-19 |
| 1003277344 | Misleidhy Rodriguez | Counselor | 5650 Jillson St, Commerce, CA 90040-1482 | 2016-03-15 |
| 1760886774 | Andrea Franklin | Social Worker | 5650 Jillson St, Commerce, CA 90040-1482 | 2014-10-20 |
| 1619371861 | Brenda Wiewel | Social Worker | 5650 Jillson St, Commerce, CA 90040-1482 | 2014-10-17 |
| 1164831889 | Betty Brashear | Counselor | 5650 Jillson St, Commerce, CA 90040-1482 | 2014-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881178358 | On Site Physician Services, PC | Family Medicine | 6131 Telegraph Road, Commerce, CA 90040 | 2018-09-20 |
| 1912423831 | Rafael Marron IIi | Health Educator | 5675 E. Telegraph Rd., Commerce, CA 90040 | 2017-08-22 |
| 1699196378 | Altamed Health Services | Health Maintenance Organization | 2040 Camfield Ave., Los Angeles, CA 90040 | 2013-12-23 |
| 1578815072 | Martha Rose Lopez | Rehabilitation Practitioner | 2450 South Atlantic Blvd., Suite #101, Commerce, CA 90040 | 2012-10-08 |
| 1386906949 | Nadia Felix | Case Manager/Care Coordinator | 2450 Atantic Blvd, Suite #101, Commerce, CA 90040 | 2012-06-11 |
| 1821398488 | Karla Sandin | Marriage & Family Therapist | 5628 E Slauson Ave., City of Commerce, CA 90040 | 2010-10-29 |
| 1437461662 | Stephanie Ann Villasenor | Counselor | 5800 S Eastern Ave Ste 500, Commerce, CA 90040 | 2010-07-02 |
| 1699940296 | Carolyn Coolidge | Rehabilitation Practitioner | 6055 E. Washingtonblvd., Suite 900, Commerce, CA 90040 | 2008-04-24 |
| 1508040379 | Miyoshi Umeki Dorsey | Case Management | 1500 S. Mc Dowell Ave., Los Angeles, CA 90040 | 2007-12-28 |
| 1952593220 | Nancy E. Cohoon | Case Manager/Care Coordinator | 5835 Eastern Avenue, Commerce, CA 90040 | 2007-08-10 |
| Find all providers in zip 90040 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679764328 | Rosa Elizabeth Beltran | Social Worker | 5835 S Eastern Ave Fl 2, Commerce, CA 90040-4029 | 2007-08-07 |
| 1194271916 | Darielle Crawford | Social Worker | 5100 S Eastern Ave Ste 110, Commerce, CA 90040-2938 | 2016-08-31 |
| 1053866533 | Javier Gonzalez | Social Worker | 5400 E Olympic Blvd, Commerce, CA 90022-5147 | 2016-08-24 |
| 1053770040 | Cynthia Arlene Ozuna | Social Worker | 5426 E Olympic Blvd, Commerce, CA 90022-5113 | 2016-02-18 |
| 1477912004 | Jittisa Tongtip | Social Worker | 5426 E Olympic Blvd, Commerce, CA 90022-5113 | 2016-02-10 |
| 1154787679 | Stephany Albarran | Social Worker | 5628 E Slauson Ave, Commerce, CA 90040-2922 | 2016-01-13 |
| 1023430881 | Jessica Esmeralda Orellana | Social Worker | 5100 S Eastern Ave Ste 110, Commerce, CA 90040-2938 | 2014-01-14 |
| 1033530647 | Pearl Iwao | Social Worker | 2040 Camfield Ave, Commerce, CA 90040-1502 | 2013-12-27 |
| 1447694500 | Elizabeth Munoz-raisola | Social Worker | 1500 S Mcdonnell Ave, Commerce, CA 90040-5623 | 2013-04-19 |
| 1841594009 | Jissel Aguilar | Social Worker | 5100 S Eastern Ave Ste 110, Commerce, CA 90040-2938 | 2011-01-03 |
| Find all providers in COMMERCE | ||||
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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.