MRS. THERESA ANN REDONDO KENNEDY (NPI# 1073718334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073718334 |
| Entity Type | Individual |
| Full Name | MRS. THERESA ANN REDONDO KENNEDY |
| Other Name | MRS. TRACY ANN KENNEDY |
| Credential | MSW, LCSW |
| Practice Address |
2425 Enborg Ln San Jose CA 95128-2648 |
| Practice Telephone | 4088854077 |
| Mailing Telephone | 4088854077 |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2015-11-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
60436 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952431678 | Theresa Wagner Kennedy | Psychologist | 40459 Hwy 41, Ste 5, Oakhurst, CA 93644 | 2007-03-06 |
| 1134335243 | Theresa Kennedy | Counselor | 300 Centerville Rd, Suite 301-s, Warwick, RI 02886-0200 | 2007-05-15 |
| 1316016892 | Theresa Ann Kennedy | Nurse Practitioner | 75 Francis St, Boston, MA 02115-6110 | 2006-11-07 |
| 1285728550 | Theresa Ann Kennedy | Social Worker | 1115 Ironwood Drive, Coeur D Alene, ID 83814-4936 | 2006-10-03 |
| 1568571115 | Theresa Paige Kennedy | Optometrist | 8089 Highway 72 W, Suite A, Madison, AL 35758-9530 | 2006-08-29 |
| Street Address |
2425 ENBORG LN |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95128-2648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841285459 | County of Santa Clara | Clinic/Center | 2425 Enborg Ln, Valley Health Center At Puentes Clinic, San Jose, CA 95128-2648 | 2005-09-20 |
| 1023644176 | Raquel Cortez | Marriage & Family Therapist | 2425 Enborg Ln, San Jose, CA 95128-2648 | 2020-03-20 |
| 1922641588 | Chellsee Hill | Social Worker | 2425 Enborg Ln, San Jose, CA 95128-2648 | 2019-10-25 |
| 1427565035 | Sonja Ritter | Counselor | 2425 Enborg Ln, San Jose, CA 95128-2648 | 2018-01-04 |
| 1861910531 | Dan-wen Wang Tsai | Registered Nurse | 2425 Enborg Ln, San Jose, CA 95128-2648 | 2017-09-01 |
| 1427598721 | Jaclyn Allardyce | Health Educator | 2425 Enborg Ln, San Jose, CA 95128-2648 | 2017-03-06 |
| 1124563630 | Jennifer Robinson | Social Worker | 2425 Enborg Ln, San Jose, CA 95128-2648 | 2016-12-20 |
| 1750782488 | Jerylyn Bohlender | Counselor | 2425 Enborg Ln, San Jose, CA 95128-2648 | 2014-09-12 |
| 1275959819 | Frank Barker Sr. | Counselor | 2425 Enborg Ln, San Jose, CA 95128-2648 | 2014-03-06 |
| 1073935102 | Marta Mccormack | Counselor | 2425 Enborg Ln, San Jose, CA 95128-2648 | 2014-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227138 | Ruth Larsen | Social Worker | 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 | 2020-05-22 |
| 1265067185 | Of Two Minds Psychotherapy | Marriage & Family Therapist | 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 | 2020-03-11 |
| 1982244166 | Cindy Pantoja Escobar | Behavior Technician | 100 O'connor Drive, Suites 21, San Jose, CA 95128 | 2020-01-15 |
| 1104460591 | Katherine Alexandra Misogas | Pharmacist | 777 Turner Dr # 330, San Jose, CA 95128 | 2019-10-29 |
| 1942842216 | Jodie Pierce | Marriage & Family Therapist | 871 Enborg Lane, San Jose, CA 95128 | 2019-10-08 |
| 1003466434 | Dong Mi Cha | Pharmacist | 777 Turner Dr Ste 330, San Jose, CA 95128 | 2019-09-17 |
| 1114571759 | Sleep Well Acupuncture, Inc | Acupuncturist | 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 | 2019-08-01 |
| 1083277677 | Wellocity, Inc | Health Educator | 334 Santana Row, 318, San Jose, CA 95128 | 2019-04-18 |
| 1518428812 | Alexander Diaz | Radiology | 75 South Bascom Ave, San Jose, CA 95128 | 2019-03-28 |
| 1720542103 | Nanci R Price Inc | Chiropractor | 100 O'connor Dr., Ste 27, San Jose, CA 95128 | 2019-01-30 |
| Find all providers in zip 95128 | ||||
| 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.