JENNIFER C VAN WORMER (NPI# 1134780836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134780836 |
| Entity Type | Individual |
| Full Name | JENNIFER C VAN WORMER |
| Practice Address |
137 E Oak St Fort Bragg CA 95437-3610 |
| Practice Telephone | 7073454012 |
| Practice Fax Number | 8443886167 |
| Mailing Telephone | 7073454012 |
| Mailing Fax Number | 8443886167 |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2019-06-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
137 E OAK ST |
| City | FORT BRAGG |
| State | CA |
| Zip Code | 95437-3610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609083609 | Peter Burtis | Marriage & Family Therapist | 137 E Oak St, Fort Bragg, CA 95437-3610 | 2007-05-17 |
| 1265084628 | Mike Garrett Spaar | Counselor | 137 E Oak St, Fort Bragg, CA 95437-3610 | 2019-07-15 |
| 1700447653 | Radek Tuma | Case Manager/Care Coordinator | 137 E Oak St, Fort Bragg, CA 95437-3610 | 2019-06-21 |
| 1730745944 | Catherine Anne Perkins | Case Manager/Care Coordinator | 137 E Oak St, Fort Bragg, CA 95437-3610 | 2019-05-13 |
| 1588124986 | Joseph Alton Sanders | Community/Behavioral Health | 137 E Oak St, Fort Bragg, CA 95437-3610 | 2019-03-21 |
| 1841763992 | Matthew Simon Winslow | Community/Behavioral Health | 137 E Oak St, Fort Bragg, CA 95437-3610 | 2019-01-10 |
| 1265926133 | Amber Joy Steele | Counselor | 137 E Oak St, Fort Bragg, CA 95437-3610 | 2018-06-14 |
| 1073000709 | Marcella Evelyn Deniz | Counselor | 137 E Oak St, Fort Bragg, CA 95437-3610 | 2018-04-18 |
| 1114443249 | Ashley Marie Hood | Community/Behavioral Health | 137 E Oak St, Fort Bragg, CA 95437-3610 | 2017-08-21 |
| 1801337480 | Jessica Fitch | Case Manager/Care Coordinator | 137 E Oak St, Fort Bragg, CA 95437-3610 | 2017-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902357437 | Mendocino Coast Hospitality Center | Community/Behavioral Health | 137 E. Oak Street, Fort Bragg, CA 95437 | 2016-10-19 |
| 1144604570 | Erin Paul | Community Health Worker | 474 South Franklin Street, Fort Bragg, CA 95437 | 2015-07-15 |
| 1508125790 | Joel Macgregor Green | Marriage & Family Therapist | 331- G Redwood Ave., Fort Bragg, CA 95437 | 2012-05-09 |
| 1013244102 | Jenna Glasscock | Counselor | 331 E Redwood Ave, Ste E, Fort Bragg, CA 95437 | 2009-11-10 |
| 1770819641 | Patrick Lenaghan | Emergency Medicine | 707 River Dr, Fort Bragg, CA 95437 | 2009-10-27 |
| 1043455827 | M. Lee Baker | Dentist | 890 River Dr, Fort Bragg, CA 95437 | 2008-12-09 |
| 1528250495 | Christine Anne Samas | Social Worker | 656a Harrison St., Fort Bragg, CA 95437 | 2007-08-15 |
| 1083822811 | Katharine L. White | Marriage & Family Therapist | 137 E Oak Street, Fort Bragg, CA 95437 | 2007-05-17 |
| 1053525873 | Marty Christine Johnson | Marriage & Family Therapist | 331 E. Redwood Ave, Fort Bragg, CA 95437 | 2007-05-10 |
| 1528114741 | Kate Teresa Donohue | Psychologist | 19201 Noyo Acres Dr, Fort Bragg, CA 95437 | 2007-01-29 |
| Find all providers in zip 95437 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770790669 | Barbara Blayne Durigan | Case Manager/Care Coordinator | 176 Spring St, Fort Bragg, CA 95437-5208 | 2007-05-17 |
| 1689881492 | Poppy O'sheehan | Case Manager/Care Coordinator | 250 S Franklin St, Fort Bragg, CA 95437-4204 | 2007-05-17 |
| 1700447653 | Radek Tuma | Case Manager/Care Coordinator | 137 E Oak St, Fort Bragg, CA 95437-3610 | 2019-06-21 |
| 1821658360 | Timothy Maitland Rendell | Case Manager/Care Coordinator | 101 N Franklin St, Fort Bragg, CA 95437-3602 | 2019-06-17 |
| 1730745944 | Catherine Anne Perkins | Case Manager/Care Coordinator | 137 E Oak St, Fort Bragg, CA 95437-3610 | 2019-05-13 |
| 1801337480 | Jessica Fitch | Case Manager/Care Coordinator | 137 E Oak St, Fort Bragg, CA 95437-3610 | 2017-03-15 |
| 1467889253 | Melissa Cornell | Case Manager/Care Coordinator | 474 S Franklin St, Fort Bragg, CA 95437-4803 | 2013-10-11 |
| 1770918179 | Sherry Rene Flicker | Case Manager/Care Coordinator | 544 S Main St, Fort Bragg, CA 95437-5107 | 2013-09-05 |
| 1285815571 | Elaine Heine | Case Manager/Care Coordinator | 205 S Main St, Fort Bragg, CA 95437-4210 | 2007-11-15 |
| 1861601221 | Lucila Martinez | Case Manager/Care Coordinator | 120 W Fir St, Fort Bragg, CA 95437-3204 | 2007-05-22 |
| Find all providers in FORT BRAGG | ||||
| City | FORT BRAGG |
| Zip Code | 95437 |
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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.