MR. HECTOR LARA (NPI# 1164655247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164655247 |
| Entity Type | Individual |
| Full Name | MR. HECTOR LARA |
| Credential | M.S.W. |
| Practice Address |
14130 Lakeshore Dr. Clearlake CA 95422 |
| Mailing Address |
16170 Main Street Lower Lake CA 95457 |
| Practice Telephone | 7072728707 |
| Practice Fax Number | 7079951847 |
| Mailing Telephone | 7072728707 |
| Mailing Fax Number | 7079951847 |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2012-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 29325 | CA | Behavioral Health & Social Service Providers |
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
29325 | CA | Behavioral Health & Social Service Providers |
| Street Address |
14130 LAKESHORE DR. |
| City | CLEARLAKE |
| State | CA |
| Zip Code | 95422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831729201 | Richard Charles Hammond | Counselor | 7000 B South Center Drive, Clearlake, CA 95422 | 2020-01-24 |
| 1609416437 | Junirose Thom | Behavioral Analyst | 4456 Manzanita Avenue Suite 2, Clearlake, CA 95422 | 2020-01-09 |
| 1649781360 | Lake County Office of Education | Local Education Agency (LEA) | 3350 Acacia St, Clearlake, CA 95422 | 2017-10-20 |
| 1083091326 | Noelle Menesini | Physician Assistant | 15230 Lake Shore Drive, Clearlake, CA 95422 | 2015-05-06 |
| 1861820979 | Lake County Office of Education | Local Education Agency (LEA) | 6945 Old Highway 53, Clearlake, CA 95422 | 2013-10-29 |
| 1124469838 | Hassan Sheikh Moghaddas | Surgery | 15332 Lakeshore Dr Ste 101, Clearlake, CA 95422 | 2013-07-10 |
| 1366710279 | Nancy Bylund | Licensed Psychiatric Technician | 7000b South Center Drive, Clearlake, CA 95422 | 2011-12-06 |
| 1699060830 | Planned Parenthood Shasta Pacific | Clinic/Center | 1437 Olympic Drive, Cleaklake, CA 95422 | 2011-06-16 |
| 1518197607 | Vishal V Desai | Pharmacist | 15025, Olympic Drive, Clearlake, CA 95422 | 2009-07-23 |
| 1154501047 | Jay El Tillman | Counselor | 6885 Old Hwy 53, Clearlake, CA 95422 | 2007-11-07 |
| Find all providers in zip 95422 | ||||
| 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 |
|---|---|---|---|---|
| 1780054080 | Susan Carreon | Social Worker | 15230 Lakeshore Dr, Clearlake, CA 95422-8107 | 2015-09-29 |
| 1609255660 | Amber Warner | Social Worker | 15630 18th Ave, Clearlake, CA 95422-9336 | 2015-05-23 |
| 1366858623 | Socorro Padilla | Social Worker | 7000b S Center Dr, Clearlake, CA 95422-8131 | 2014-07-08 |
| 1154751444 | Robin Penelope Patton | Social Worker | 15230 Lakeshore Dr, Clearlake, CA 95422-8107 | 2013-11-22 |
| 1356649545 | Laurie K Halversen | Social Worker | 15630 18th Ave, Clearlake, CA 95422-9336 | 2011-03-11 |
| 1508044934 | Gail Rosander | Social Worker | 15230 Lakeshore Dr, Clearlake, CA 95422-8107 | 2008-02-07 |
| 1053441519 | Marian Rose Pena | Social Worker | 15230 Lakeshore Dr, Clearlake, CA 95422-8107 | 2007-03-06 |
| 1093872095 | Michael Hodson Street | Social Worker | 7000b S Center Dr, Clearlake, CA 95422-8131 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295244 | Keith Aaron Rivera | Social Worker | 605 Sundahl Dr, Folsom, CA 95630-6353 | 2020-11-03 |
| 1043811482 | Ofelia Stephanie Gonzalez | Social Worker | 252 San Jose St. Upstairs Suite, Salinas, CA 93901 | 2020-11-03 |
| 1780284356 | Tyler Young | Social Worker | 73140 Guadalupe Ave, Palm Desert, CA 92260-2858 | 2020-10-31 |
| 1588264220 | Danielle Segal | Social Worker | 10085 Nicolas Dr Unit B, Truckee, CA 96161-1871 | 2020-10-30 |
| 1598365389 | Camila Alaasam | Social Worker | 2145 Myrtle Ave # 3323, Eureka, CA 95501-3323 | 2020-10-29 |
| 1720688906 | Jennifer L Salcido | Social Worker | 2292 Celeste Ave, Clovis, CA 93611-6253 | 2020-10-28 |
| 1730788217 | Tara Christine Stafford | Social Worker | 30 Carlyle Ct, Danville, CA 94506-6147 | 2020-10-26 |
| 1730788282 | Fatima Billoo | Social Worker | 18928 Lassen St, Northridge, CA 91324-1835 | 2020-10-25 |
| 1306445903 | Enerje Wellness Licenced Clinical Social Worker | Social Worker | 7121 Magnolia Ave Ste O, Riverside, CA 92504-3805 | 2020-10-23 |
| 1972102671 | Kimberly Sherman | Social Worker | 1110 Ranleigh Way, Piedmont, CA 94610-1135 | 2020-10-22 |
| Find all providers with the same taxonomy | ||||
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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.