JASON LEE PAUL WAYRYNEN (NPI# 1124345616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124345616 |
| Entity Type | Individual |
| Full Name | JASON LEE PAUL WAYRYNEN |
| Credential | BS |
| Practice Address |
1219 N Carpenter Rd Ste 12 Modesto CA 95351 |
| Mailing Address |
1219 N Carpenter Rd Ste 12 Modesto CA 95351-1215 |
| Practice Telephone | 2095690713 |
| Mailing Telephone | 6053605360 |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2018-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
79884 | CA | Behavioral Health & Social Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1620 Cummins Dr, Modesto, CA 953586400 | 2095761750 | 2095761768 |
| Street Address |
1219 N CARPENTER RD STE 12 |
| City | MODESTO |
| State | CA |
| Zip Code | 95351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700392487 | Western Dental Services, Inc. | Dentist | 1524 Richland Ave, Ceres, CA 95351 | 2017-12-18 |
| 1881039873 | Sabrina Arora-thissen | Family Medicine | 401 Paradise Rd. Ste, Modesto, CA 95351 | 2013-05-03 |
| 1407163561 | Maliza Cahee Oliver | Dentist | 1404 Mitchell Rd, Modesto, CA 95351 | 2010-09-09 |
| 1841469640 | Edgar Hse-hwa Han | Physical Medicine & Rehabilitation | 1521 N. Carpenter Road, Suite D-1, Modesto, CA 95351 | 2008-02-26 |
| 1326259326 | Karen Ann Peterson | Nurse Practitioner | 1340 Mitchell Rd, Modesto, CA 95351 | 2007-05-24 |
| 1013139054 | Bounchanh Trysavath | Physician Assistant | 300 I St, Modesto, CA 95351 | 2007-05-02 |
| 1245363464 | Sharon Basaldua1 | Counselor | 813 Moon Lane, Modesto, CA 95351 | 2007-03-14 |
| 1710046834 | Phil Chen | Dentist | 1460 Mitchell Road, Suite B, Modesto, CA 95351 | 2006-12-06 |
| 1649366055 | Victor Y. Chen | Family Medicine | 401 Paradise Road, Suite E, Modesto, CA 95351 | 2006-10-04 |
| 1487679296 | Ronald M Megee | Chiropractor | 2507 East Hatch Rd., Suite B, Modesto, CA 95351 | 2006-07-13 |
| Find all providers in zip 95351 | ||||
| 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 |
|---|---|---|---|---|
| 1801379672 | Myriam Cubillo | Social Worker | 2921 Winged Foot Ct, Modesto, CA 95355-9737 | 2018-09-07 |
| 1013387844 | Diana Faith Kigenyi | Social Worker | 1225 Oakdale Road, Modesto, CA 95355 | 2015-10-06 |
| 1518205236 | Veronica Renee Tovar | Social Worker | 803 Coffee Rd Ste 10, Modesto, CA 95355-4244 | 2013-01-31 |
| 1649538869 | Maria Guadalupe Rameno | Social Worker | 1604 Ford Ave Ste 2b, Modesto, CA 95350-4649 | 2012-04-25 |
| 1952674947 | Kimberly Wright | Social Worker | 1832 Encina Ave, Modesto, CA 95354-1502 | 2012-02-22 |
| 1083921977 | Michelle Riley | Social Worker | 3340 Tully Rd Ste D4, Modesto, CA 95350 | 2010-09-13 |
| 1952626392 | Jennifer Ellen Cooper | Social Worker | 800 Coffee Rd, Modesto, CA 95355-4233 | 2010-03-29 |
| 1063643930 | Jennifer Lee Johnson | Social Worker | 1321 I St Ste 3, Modesto, CA 95354-0902 | 2009-07-27 |
| 1639308547 | Dolores R Covarrubias | Social Worker | 1320 Standiford Ave Ste B, Modesto, CA 95350-0726 | 2009-07-13 |
| 1952587545 | Robyn L Grayson | Social Worker | 912 9th Street, Modesto, CA 95350 | 2008-01-14 |
| Find all providers in MODESTO | ||||
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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.