KRISTIAN BOWDEN MENOTTI (NPI# 1154475531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154475531 |
| Entity Type | Individual |
| Full Name | KRISTIAN BOWDEN MENOTTI |
| Credential | LCSW |
| Practice Address |
125 Willow Rd Ste 205 Menlo Park CA 94025-2799 |
| Mailing Address |
33042 Soquel St Union City CA 94587-5558 |
| Practice Telephone | 9196964712 |
| Mailing Telephone | (919) 696-4712 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
61728 | CA | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
C005085 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3606303 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3622 Haworth Dr, Raleigh, NC 276097219 | 9198473035 |
| Street Address |
125 WILLOW RD STE 205 |
| City | MENLO PARK |
| State | CA |
| Zip Code | 94025-2799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154704286 | Wendy Yeh | Marriage & Family Therapist | 125 Willow Rd Ste 205, Menlo Park, CA 94025-2799 | 2015-07-07 |
| 1225373129 | Constance L Habash | Marriage & Family Therapist | 125 Willow Rd Ste 205, Menlo Park, CA 94025-2799 | 2012-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350112 | Grail, Inc. | Clinical Medical Laboratory | 1525 O'brien Drive, Menlo Park, CA 94025 | 2020-09-09 |
| 1528673399 | Hanan Wasse | Occupational Therapist | 860 Fremont # Apt 2, Menlo Park, CA 94025 | 2020-09-09 |
| 1356967608 | Raymond Joseph Brinkmann | Counselor | 795 Willow Road Bldg 332, Menlo Park, CA 94025 | 2020-06-23 |
| 1245859883 | Connie Margarita Alonzo-frisz | Marriage & Family Therapist | Garfield Community School, 3600 Middlefield Rd, Menlo Park, CA 94025 | 2020-04-14 |
| 1225661911 | Crossover Health Medical Group | Specialist | 193 Jefferson Dr., Menlo Park, CA 94025 | 2020-02-20 |
| 1942774732 | Irazema Garcia | Health Educator | 3000 Sand Hill Road, Building 3, Suite 240, Menlo Park, CA 94025 | 2019-01-15 |
| 1538639174 | Care Indeed, Inc. | Home Health | 890 Santa Cruz Ave., Menlo Park, CA 94025 | 2018-11-27 |
| 1639644370 | Wendy Figone | Massage Therapist | 575 Gilbert Ave., Menlo Park, CA 94025 | 2018-10-09 |
| 1437667540 | Christina E Kang | Nutritionist | 3639 Haven Ave Unit A424, Menlo Park, CA 94025 | 2018-01-11 |
| 1225492820 | Speachy Learning Center | Speech-Language Pathologist | 1164 Chestnut Street, Menlo Park, CA 94025 | 2016-04-09 |
| Find all providers in zip 94025 | ||||
| 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 |
|---|---|---|---|---|
| 1477170074 | Michael Gerald Bloch | Social Worker | 795 Willow Rd Bldg 347b, Menlo Park, CA 94025-2539 | 2020-06-29 |
| 1184108714 | Elizabeth L Lewis | Social Worker | 440 Sand Hill Cir # 2, Menlo Park, CA 94025-7107 | 2018-09-19 |
| 1194227306 | Stephne Ann Lencioni | Social Worker | 216 University Dr, Menlo Park, CA 94025-5222 | 2018-03-03 |
| 1134515331 | Azra Alic | Social Worker | 932 Santa Cruz Ave Ste A, Menlo Park, CA 94025 | 2015-04-14 |
| 1538569538 | Alice P. Wu-cardona | Social Worker | 795 Willow Rd Bldg 331c, Menlo Park, CA 94025-2539 | 2014-08-26 |
| 1821420852 | Katja Cahoon | Social Worker | 418 Willow Rd, Menlo Park, CA 94025 | 2013-08-01 |
| 1750628897 | Alicia Hernandez | Social Worker | 795 Willow Rd Bldg 334sw122, Menlo Park, CA 94025-2539 | 2013-01-09 |
| 1346546355 | Mila Kelman | Social Worker | 3422 Oak Dr, Menlo Park, CA 94025-1868 | 2011-02-08 |
| 1093039406 | Rebecca Ann Cormier | Social Worker | 795 Willow Rd # 180dmpd, Menlo Park, CA 94025-2539 | 2010-03-15 |
| 1568621688 | Candace Jane Pierce | Social Worker | 1187 University Drive, Suite 7, Menlo Park, CA 94025-4423 | 2008-06-04 |
| Find all providers in MENLO PARK | ||||
| City | MENLO PARK |
| Zip Code | 94025 |
Please comment or provide details below to improve the information on KRISTIAN BOWDEN MENOTTI.
| 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.