SANDRA M KOELLMANN


Address: 3767 Central Ave, San Diego, CA 92105-2599
Phone: 6195844010

SANDRA M KOELLMANN (NPI# 1073131033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073131033
Entity Type Individual
Full Name SANDRA M KOELLMANN
Credential ASW
Practice Address 3767 Central Ave
San Diego
CA 92105-2599
Practice Telephone 6195844010
Practice Fax Number 6192780770
Enumeration Date 2020-07-07
Last Update Date 2020-07-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
86201 CA Behavioral Health & Social Service Providers

Office Location

Street Address 3767 CENTRAL AVE
City SAN DIEGO
State CA
Zip Code 92105-2599

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013045905 Stepping Stone of San Diego, Inc. Substance Abuse Rehabilitation Facility 3767 Central Ave, San Diego, CA 92105-2506 2007-03-01
1679172910 Brittany Kathryn Hunt L'estrange Counselor 3767 Central Ave, San Diego, CA 92105-2599 2020-10-19
1487251468 Felicitas Jimenez Student in an Organized Health Care Education/Training Program 3767 Central Ave, San Diego, CA 92105-2599 2020-10-03
1932715810 Jessica Styler Counselor 3767 Central Ave, San Diego, CA 92105-2506 2020-09-16
1730794736 Sarah West Social Worker 3767 Central Ave, San Diego, CA 92105-2599 2020-09-15
1053926428 Charles Townsend Counselor 3767 Central Ave, San Diego, CA 92105-2506 2020-09-13
1578176756 Emma Josephine Norton Social Worker 3767 Central Ave, San Diego, CA 92105-2599 2020-08-26
1598378127 Jennifer Susanne Hoggan Counselor 3767 Central Ave, San Diego, CA 92105-2506 2020-08-24
1720697972 Lisa Liang Marriage & Family Therapist 3767 Central Ave, San Diego, CA 92105-2506 2020-07-23
1962027961 Shari Lynn Hampton Counselor 3767 Central Ave, San Diego, CA 92105-2506 2020-06-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851934798 Point Loma Nazarene University Nurse Practitioner Point Loma Nazarene University Health Promotion Center, 4101 University Avenue, San Diego, CA 92105 2019-10-23
1104478809 Kristin Lynn Nichols Counselor 4823 El Cajon Blvd Suite #115, San Diego, CA 92105 2019-07-12
1205343076 Momentum Learning Counselor 3720 El Cajon Blvd., Sd, CA 92105 2018-01-03
1306352695 Nathan Hien Le, Dds. Inc Dentist 4170 Fairmount Ave., San Diego, CA 92105 2017-12-21
1073038071 Aika Mary Erlandson Student in an Organized Health Care Education/Training Program 5296 University Ave. Suite F-2, San Diego, CA 92105 2017-08-10
1457872178 Ride-in Transport LLC Non-emergency Medical Transport (VAN) 4061 Fairmount Ave, San Diego, CA 92105 2017-07-03
1598205346 Ahmed Mooge Ambulance 4061 Fairmout Ave, San Diego, CA 92105 2017-02-27
1083152748 Rady Childrens Hospital-san Diego Psychiatric Unit 4305 University Avenue, Suite 150, San Diego, CA 92105 2017-02-02
1730634098 Med Specialty Sai Inc. Pharmacy 4153 University Avenue, Suite B, San Diego, CA 92105 2016-08-16
1568857464 Dr. Jeffrey A. Saladin, Dental Corporation Dentist 4074 Fairmount Avenue, Suite B, San Diego, CA 92105 2015-03-30
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154920536 Gillian Boyd Social Worker 3147 Eel Alley Building 271, Room 106, San Diego, CA 92136-0001 2020-10-18
1194338087 Courage Over Comfort Counseling Licensed Clinical Social Worker PC Social Worker 4283 El Cajon Blvd Ste 226, San Diego, CA 92105-1289 2020-08-28
1619580057 Joseph Stephen Mcconico Social Worker 5274 Mount Alifan Dr, San Diego, CA 92111-2621 2020-08-25
1821600529 David James Prince Social Worker 1498 13th Street Bldg 184, San Diego, CA 98132 2020-08-24
1407467392 Tyler Drew Willis Social Worker 4665 Voltaire St, San Diego, CA 92107-1762 2020-08-13
1174132575 Sarah Greenstein Social Worker 11860 Carmel Creek Rd, San Diego, CA 92130-2474 2020-07-31
1730798190 Joelle G Johnson Social Worker 4904 Mansfield St, San Diego, CA 92116-1936 2020-07-30
1881203503 Micheaela Whaley Social Worker 4417 30th St Ste 112, San Diego, CA 92116-4284 2020-07-28
1033737812 Clara Loginov Social Worker 6727 Mohawk St, San Diego, CA 92115-1642 2020-07-08
1780208553 Ai-nhat Ngo Social Worker 9360 Activity Rd Ste B, San Diego, CA 92126-4410 2020-06-07
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Competitor

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City SAN DIEGO
Zip Code 92105

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Dataset Information

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.

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