DR. JEANINE MARIE AUSTIN STOTTS (NPI# 1134681539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134681539 |
| Entity Type | Individual |
| Full Name | DR. JEANINE MARIE AUSTIN STOTTS |
| Credential | LCSW, |
| Practice Address |
483 W Seed Farm Rd Sacaton AZ 85147-5000 |
| Practice Telephone | 5206104604 |
| Mailing Telephone | 5206104604 |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2019-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
17890 | CA | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
17608 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
483 W SEED FARM RD |
| City | SACATON |
| State | AZ |
| Zip Code | 85147-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649266883 | Karin B Fisk | Nurse Practitioner | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2005-09-22 |
| 1639786890 | Juliandra Bailon | Counselor | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2020-09-30 |
| 1922624535 | Joyce Mary Blair | Counselor | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2020-06-19 |
| 1881219095 | Olivia Rae Hoylman | Optometrist | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2020-06-12 |
| 1225652050 | Sarah David | Optometrist | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2020-06-08 |
| 1962026906 | Candace Wilson | Social Worker | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2020-06-05 |
| 1154943678 | Joni Delaney | Counselor | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2020-05-07 |
| 1700406808 | Clara Terrazas | Social Worker | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2020-04-20 |
| 1326676958 | Debra Lee Cockrell | Counselor | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2020-03-30 |
| 1295362101 | Adriane Miles | Counselor | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2020-03-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104452507 | Jeremy James Pumphrey | Counselor | 438 W Seed Farm Rd, Sacaton, AZ 85147 | 2020-03-17 |
| 1215563804 | Leo Oswaldo Merino | Counselor | 291 W. Casa Blanca Rd. Bldg. # 7, Sacaton, AZ 85147 | 2020-03-16 |
| 1588166896 | Stephanie Lashawn Brown | Social Worker | 483 West Seed Farm Rd., Sacaton, AZ 85147 | 2018-03-02 |
| 1255602447 | Joyce Mildred Villalobos | Counselor | Gila River Health Care Corp, 483 W Seed Farm Rd, Sacaton, AZ 85147 | 2012-01-19 |
| 1417237074 | Gila River Health Care | Community/Behavioral Health | 291 W Casa Blanca Rd, Sacaton, AZ 85147 | 2011-08-26 |
| 1750598322 | Kari Beth Harris | Social Worker | 198 South Skill Center Road, Sacaton, AZ 85147 | 2007-05-16 |
| 1740378694 | Vincent Anthony Berkley | Internal Medicine | 198 S. Skill Center Road, Sacaton, AZ 85147 | 2006-10-10 |
| 1568448801 | Wesley Neil Yamada | Podiatrist | 483 W Seed Farm Road, Sacaton, AZ 85147 | 2005-12-19 |
| 1376532515 | Frances Antone | Physician Assistant | 483 W Seed Farm Rd., Sacaton, AZ 85147 | 2005-10-20 |
| 1538167051 | Xuong Wilkinson | Family Medicine | 483 West Seed Farm Road, Sacaton, AZ 85147 | 2005-07-08 |
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| 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 |
|---|---|---|---|---|
| 1518460641 | Chylae M Dexter | Social Worker | 291 W Casa Blanca Rd., Sacaton, AZ 85147-0056 | 2018-03-15 |
| 1750598322 | Kari Beth Harris | Social Worker | 198 South Skill Center Road, Sacaton, AZ 85147 | 2007-05-16 |
| 1124006630 | Kenneth R Geans | Social Worker | 483 W. Seed Farm Rd, Sacaton, AZ 85247 | 2006-01-04 |
| 1073149837 | Colleen Marie Austin | Social Worker | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2020-03-12 |
| 1710521638 | Edward Adu'elohiym | Social Worker | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2019-11-04 |
| 1083269377 | Cecile Marie Sharp | Social Worker | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2019-08-05 |
| 1598256398 | Phil Armando Sanchez | Social Worker | 483 W. Seed Farm Rd., Icm - Behavioral Health, Sacaton, AZ 85147 | 2018-05-29 |
| 1033538137 | Lynn Marie Pacheco | Social Worker | 483 W. Seed Farm Rd., Sacaton, AZ 85147-0038 | 2014-04-16 |
| 1801177548 | Phyllis A Spittell | Social Worker | 483 W. Seed Farm Rd., Sacaton, AZ 85147-0038 | 2011-09-08 |
| 1154509651 | Lizabeth B Abramovich | Social Worker | 483 West Seed Farm Road, Gila River Health Care Coorportation, Sacaton, AZ 85247 | 2008-02-06 |
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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.