CAROLYN MARYAM MOODY (NPI# 1093115867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093115867 |
| Entity Type | Individual |
| Full Name | CAROLYN MARYAM MOODY |
| Credential | LCSW |
| Practice Address |
36 Chestnut Ave #5553 South San Francisco CA 94083-8074 |
| Mailing Address |
Po Box 5553 South San Francisco CA 94083-5553 |
| Practice Telephone | 4152004587 |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2020-07-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
36 CHESTNUT AVE #5553 |
| City | SOUTH SAN FRANCISCO |
| State | CA |
| Zip Code | 94083-8074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606482 | Charina Non | Speech-Language Pathologist | 214 Holly Ave Apt 54, South San Francisco, CA 94080-1387 | 2020-10-15 |
| 1467063479 | Dc3 Therapeutics LLC | Clinical Medical Laboratory | 163 W Harris Ave, South San Francisco, CA 94080-6008 | 2020-08-13 |
| 1356952311 | Chelane Au | Pharmacist | 348 Susie Way Apt 4, South San Francisco, CA 94080-2348 | 2020-08-13 |
| 1881203313 | Randy Michael Gines | Radiologic Technologist | 398 Cypress Ave Unit 321, South San Francisco, CA 94080-3775 | 2020-07-30 |
| 1003424409 | Nicholas Kim | Pharmacist | 2430 Tipperary Ave, South San Francisco, CA 94080-5352 | 2020-07-21 |
| 1922625912 | Katriona Lorraine Reilly-amtoft | Community Health Worker | 513 Park Way, South San Francisco, CA 94080-2644 | 2020-06-25 |
| 1679199467 | Verily Life Sciences LLC | Clinical Medical Laboratory | 259 E Grand Ave, South San Francisco, CA 94080-4804 | 2020-06-17 |
| 1356965354 | Sammie Mui | Physician Assistant | 395 Dolores Way, South San Francisco, CA 94080-1415 | 2020-06-04 |
| 1437773959 | Marissa Stlouis | Physical Therapist | 537 Grand Ave Apt 2, South San Francisco, CA 94080-3545 | 2020-06-01 |
| 1932729498 | Raymond Lloyd Richmond | Psychologist | 377 Willow Ave, South San Francisco, CA 94080-1446 | 2020-04-24 |
| Find all providers in SOUTH SAN FRANCISCO | ||||
| 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 |
|---|---|---|---|---|
| 1336409739 | Jessica Kate Zerrer | Social Worker | 1200 El Camino Real, 3rd Floor Psychiatry, South San Francisco, CA 94080 | 2012-05-21 |
| 1235258013 | Michelle Dawn Bialon-choy | Social Worker | 1486 Huntington Ave, Suite 100, South San Francisco, CA 94080-5970 | 2007-03-29 |
| 1538297247 | Sara Graham | Social Worker | 7100 Mission Road, South San Francisco, CA 94080 | 2007-03-02 |
| 1629133129 | Cecilia E. Barberena | Social Worker | 1475 Huntington Ave Ste 201, South San Francisco, CA 94080-5967 | 2006-12-26 |
| 1992729719 | Omal Bani Saberi | Social Worker | 125 Northwood Dr, Suite C, South San Francisco, CA 94080-5754 | 2006-07-26 |
| 1154837011 | Jennifer Barcelon Cancio | Social Worker | 170 S Spruce Ave Ste 200, South San Francisco, CA 94080-4557 | 2017-12-14 |
| 1336503069 | Carolyn Anne Brooks | Social Worker | 395 Oyster Point Blvd, South San Francisco, CA 94080-1928 | 2016-04-08 |
| 1063776011 | William L Matherly | Social Worker | 1200 El Camino Real, South San Francisco, CA 94080 | 2012-06-25 |
| 1679766281 | Jose E. Trejo | Social Worker | 1200 El Camino Real, South San Francisco, CA 94080-3208 | 2007-08-27 |
| 1831380138 | Teresa M Soto | Social Worker | 1200 El Camino Real, South San Francisco, CA 94080-3208 | 2007-08-05 |
| Find all providers in SOUTH SAN FRANCISCO | ||||
| City | SOUTH SAN FRANCISCO |
| Zip Code | 94083 |
Please comment or provide details below to improve the information on CAROLYN MARYAM MOODY.
| 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.