WINGS OF THE FUTURE CONSULTING PRIVATE PRACTICE (NPI# 1144705724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144705724 |
| Entity Type | Organization |
| Organization Name | WINGS OF THE FUTURE CONSULTING PRIVATE PRACTICE |
| Other Organization Name | WINGS OF THE FUTURE PRIVATE PRACTICE |
| Practice Address |
1050 Lakes Dr West Covina CA 91790 |
| Mailing Address |
1050 Lakes Dr West Covina CA 91790-2924 |
| Practice Telephone | 6614021545 |
| Practice Fax Number | 6617270006 |
| Mailing Telephone | 6614021545 |
| Mailing Fax Number | 6617270006 |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2019-12-06 |
| Authorized Official Name | MRS. KRYSTAL M BOOTHE (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 3106210150 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | OTHER IDENTIFIER | 832422898 | 01 |
| Other Name | Type Code |
|---|---|
| Wings of the Future Private Practice | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 663 West 5th Street, Los Angeles, CA 900711502 | 6614021545 | 6617270006 |
| 335 S Grand Ave, Los Angeles, CA 900711502 | 3106210150 | 6617270006 |
| 42055 50th St W, Quartz Hill, CA 935363520 | 3106210150 | 6617270006 |
| Street Address |
1050 LAKES DR |
| City | WEST COVINA |
| State | CA |
| Zip Code | 91790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891731964 | Timothy L Baker | Physical Therapist | 1050 Lakes Dr, Suite 100, West Covina, CA 91790-2924 | 2006-06-20 |
| 1508307067 | People Empowering People, LLC | Home Health | 1050 Lakes Dr, Suite 250, West Covina, CA 91790-2924 | 2017-03-17 |
| 1518400225 | Dave Concepcion | Physical Therapist | 1050 Lakes Dr, Suite 100, West Covina, CA 91790-2924 | 2016-11-29 |
| 1629511340 | Jennifer Ann Chavez | Physical Therapist | 1050 Lakes Dr, Suite 100, West Covina, CA 91790-2924 | 2016-11-29 |
| 1043488414 | Krystal Marie Boothe | Social Worker | 1050 Lakes Dr, West Covina, CA 91790-2924 | 2008-02-19 |
| 1528272341 | David Wayne Alfaro | Dentist | 1050 Lakes Dr, Suite #335, West Covina, CA 91790-2929 | 2007-05-10 |
| 1174683643 | Orthopaedic Medical Group & Athletic Rehabilitation Center, Inc | Physical Therapist | 1050 Lakes Dr, Ste 100, West Covina, CA 91790 | 2006-12-12 |
| 1619990447 | Patrick R. Duke | Physician Assistant | 1050 Lakes Dr, Suite 100, West Covina, CA 91790-2924 | 2006-07-25 |
| 1376561928 | Briana Marie Mosier | Physical Therapist | 1050 Lakes Dr, Suite 100, West Covina, CA 91790-2924 | 2006-07-18 |
| 1750309498 | Henry S. Moussa | Physical Therapist | 1050 Lakes Dr, Suite 100, West Covina, CA 91790-2924 | 2006-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285279067 | Liang-wen Chen | Acupuncturist | 1433 West Merced Ave. Suite 304, West Covina, CA 91790 | 2019-11-15 |
| 1245880517 | Cheuk Man Chan | Acupuncturist | 1433 W Merced Ave., #309, West Covina, CA 91790 | 2019-09-18 |
| 1982174561 | Alexandra Isaacs | Marriage & Family Therapist | 1215 W. West Covina Pkwy., West Covina, CA 91790 | 2018-11-27 |
| 1568949709 | Lulua Zulfikarali Bahrainwala | Student in an Organized Health Care Education/Training Program | 1115 S Sunset Avenue #3940, West Covina, CA 91790 | 2018-07-20 |
| 1417442740 | Lydia Joy David | Nurse Practitioner | 1769 S Sunset Ave, West Covina, CA 91790 | 2018-06-28 |
| 1043721046 | Kimberly E Nevarez | Specialist/Technologist | 410 E Merced Ave Suite D, Suite D, West Covina, CA 91790 | 2017-10-17 |
| 1952825754 | Evan Lee Hendriks | Physician Assistant | 301 S Glendora Ave, Apt 2142, West Covina, CA 91790 | 2017-08-02 |
| 1669994588 | Meryl Francine Liu | Dentist | 1101 S. Glendora Ave #a, West Covina, CA 91790 | 2017-07-12 |
| 1326586330 | Athena Merianos | Marriage & Family Therapist | 1215 W. West Parkway, West Covina, CA 91790 | 2017-02-09 |
| 1912445990 | Lissette Bueno | Case Manager/Care Coordinator | 1517 West Garvey Ave North, West Covina, CA 91790 | 2017-02-09 |
| Find all providers in zip 91790 | ||||
| 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 |
|---|---|---|---|---|
| 1225523822 | Alycia Cisneros | Social Worker | 1422 E Workman Ave, West Covina, CA 91791-1333 | 2018-06-26 |
| 1760921100 | Edward Kenneth Guerrero Jr. | Social Worker | 637 S Lark Ellen Ave, West Covina, CA 91791-2553 | 2017-02-17 |
| 1750618476 | Mariano Viramontes | Social Worker | 3448 E Hilltonia Dr, West Covina, CA 91792-2933 | 2009-11-17 |
| 1215169198 | Norma Jean Yuriar | Social Worker | 1818 Rio De Oro Dr, West Covina, CA 91791-3951 | 2009-08-11 |
| 1760641963 | Nicole Rae Turner | Social Worker | 1020 Highlight Dr, West Covina, CA 91791-3479 | 2008-06-03 |
| 1619096773 | Chin-ling Chen | Social Worker | 2934 E Garvey Ave S Ste 100, West Covina, CA 91791-2180 | 2007-03-28 |
| 1750405296 | Lucia Catalina Gonzalez | Social Worker | 1539 W Garvey Ave. N, West Covina, CA 91790 | 2007-03-19 |
| 1780736330 | Diane S Campbell | Social Worker | 1502 W West Covina Pkwy, West Covina, CA 91790-2703 | 2007-01-16 |
| 1750766812 | Claudia Pineda | Social Worker | 420 S Glendora Ave, West Covina, CA 91790-3001 | 2015-07-29 |
| 1689084808 | Elisa J Cuello | Social Worker | 420 S Glendora Ave, West Covina, CA 91790-3001 | 2014-04-28 |
| Find all providers in WEST COVINA | ||||
| City | WEST COVINA |
| Zip Code | 91790 |
Please comment or provide details below to improve the information on WINGS OF THE FUTURE CONSULTING PRIVATE PRACTICE.
| 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.