JENNIFER SIMON (NPI# 1093187486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093187486 |
| Entity Type | Individual |
| Full Name | JENNIFER SIMON |
| Credential | LCSW |
| Practice Address |
2940 Summit St Ste 2c Oakland CA 94609-3416 |
| Mailing Address |
2940 Summit Street Suite 2c Oakland CA 94609 |
| Practice Telephone | 5106718186 |
| Mailing Telephone | 5106718186 |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2020-09-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW65973 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2940 Summit Street, Suite 2c, Oakland, CA 94609 | 5106718186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538725007 | Jennifer Simon | Speech-Language Pathologist | 2601 Bransford Ave # 5455524, Nashville, TN 37204-2811 | 2019-05-10 |
| 1992161772 | Jennifer Jane Lee Simon | Nurse Practitioner | 500 W Broadway St Ste 310, Missoula, MT 59802-4003 | 2016-01-08 |
| 1396163127 | Jennifer Simon | Registered Nurse | 11 Juniper Pl, Huntington, NY 11743-4324 | 2014-03-29 |
| 1689938839 | Jennifer Simon | Specialist | 30 Ehrbar Ave, Apt. 507, Mount Vernon, NY 10552-3663 | 2012-07-02 |
| 1194012401 | Jennifer Simon | Optometrist | 3935 Lake Michigan Dr Nw Ste 3, Grand Rapids, MI 49534-7844 | 2011-07-07 |
| 1548804081 | Jennifer A Simon | Registered Nurse | 1411 E 31st St, Oakland, CA 94602-1018 | 2019-10-28 |
| 1508383043 | Jennifer Simon | Behavior Technician | 1001 W. Cypress Creek Rd., 120, Ft Lauderdale, FL 33309 | 2017-08-25 |
| 1962835462 | Jennifer Simon | Counselor | 541 Main St, Weymouth, MA 02190-1868 | 2013-08-20 |
| 1033557913 | Jennifer L Simon | Pharmacist | 2300 Maccorkle Ave Se, Charleston, WV 25304-1045 | 2013-06-12 |
| 1952693889 | Jennifer J Simon | Behavioral Analyst | 500 E Colonial Dr, Orlando, FL 32803-4504 | 2011-05-11 |
| Street Address |
2940 SUMMIT ST STE 2C |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609-3416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851874325 | Amir Naseer Ahmed | Counselor | 2940 Summit St Ste 2c, Oakland, CA 94609 | 2018-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
| 1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
| 1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
| 1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
| 1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
| 1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
| 1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
| 1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
| Find all providers in zip 94609 | ||||
| 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 |
|---|---|---|---|---|
| 1265030803 | Alana Lyn Kapust | Social Worker | 590 El Dorado Ave Unit 210, Oakland, CA 94611-5071 | 2020-10-15 |
| 1497377527 | Yurianna Hyechong Na | Social Worker | 1401 Jackson St Apt 501, Oakland, CA 94612-4086 | 2020-05-12 |
| 1861026080 | Urban Catalyst Psychotherapy, A Licensed Clinical Social Worker Corpor | Social Worker | 2700 International Blvd Ste 21, Oakland, CA 94601-1508 | 2020-02-26 |
| 1336789643 | Zosime Calame | Social Worker | 445 Bellevue Ave Ste 300, Oakland, CA 94610-4923 | 2020-01-14 |
| 1316581796 | Joaquin Turner | Social Worker | 2232 Ivy Dr Apt 27, Oakland, CA 94606-1942 | 2019-10-29 |
| 1699324152 | Brian Phanichkarn | Social Worker | 675 Hegenberger Rd Ste 214, Oakland, CA 94621-1989 | 2019-09-08 |
| 1306495007 | Winnie Zhi Liao | Social Worker | 400 Roland Way, Oakland, CA 94621-2012 | 2019-09-05 |
| 1225686314 | Victoria Anderson | Social Worker | 1038 57th St, Oakland, CA 94608-2706 | 2019-08-31 |
| 1881242279 | Lauren Martin | Social Worker | 5231 Market St, Oakland, CA 94608-3254 | 2019-08-28 |
| 1639723703 | Joanna La Torre | Social Worker | 4255 Howe St, Oakland, CA 94611-4704 | 2019-07-27 |
| Find all providers in OAKLAND | ||||
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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.