FRED FINCH YOUTH CENTER (NPI# 1174077838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174077838 |
Entity Type | Organization |
Organization Name | FRED FINCH YOUTH CENTER |
Other Organization Name | FRED FINCH YOUTH CENTER-MANZANITA SEED |
Practice Address |
2409 E 27th St Oakland CA 94601-1303 |
Mailing Address |
3800 Coolidge Ave Oakland CA 94602-3311 |
Practice Telephone | 5105352832 |
Mailing Telephone | 5104822244 |
Mailing Fax Number | 5104881960 |
Enumeration Date | 2016-08-11 |
Last Update Date | 2016-09-23 |
Authorized Official Name | MR. THOMAS N. ALEXANDER (PRESIDENT AND CEO) |
Authorized Official Telephone | 5104822244 |
Authorized Official Credential | LCSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
Other Name | Type Code |
---|---|
Fred Finch Youth Center-Manzanita SEED | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659910529 | Fred Finch Youth Center | Counselor | 2625 Zanker Rd Ste 122, San Jose, CA 95134-2130 | 2019-12-24 |
1275986739 | Fred Finch Youth Center | Counselor | 23515 Maud Ave, Hayward, CA 94541-4519 | 2016-07-20 |
1174976633 | Fred Finch Youth Center | Counselor | 2184 Thayer Ave, Hayward, CA 94545-2925 | 2016-07-20 |
1114370665 | Fred Finch Youth Center | Counselor | 26268 Flamingo Ave, Hayward, CA 94544-3159 | 2016-07-20 |
1285083113 | Fred Finch Youth Center | Counselor | 755 Oak Grove Rd, Concord, CA 94518-2801 | 2016-06-10 |
1922484674 | Fred Finch Youth Center | Counselor | 351 Marina Rd, Bay Point, CA 94565-1320 | 2015-08-05 |
1659757300 | Fred Finch Youth Center | Counselor | 2217 Chalomar Rd, Concord, CA 94518-2504 | 2015-08-05 |
1912383662 | Fred Finch Youth Center | Counselor | 4200 Concord Blvd, Concord, CA 94521-1059 | 2015-08-05 |
1447636154 | Fred Finch Youth Center | Counselor | 181 Viking Dr, Pleasant Hill, CA 94523-1808 | 2015-08-04 |
1528444239 | Fred Finch Youth Center | Counselor | 3339 Wren Ave, Concord, CA 94519-2328 | 2015-08-04 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | FRED FINCH YOUTH CENTER | 3800 Coolidge Ave, Oakland, CA 94602-3311 |
Street Address |
2409 E 27TH ST |
City | OAKLAND |
State | CA |
Zip Code | 94601-1303 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750988762 | Mohini Gadre | Student in an Organized Health Care Education/Training Program | Casa Del Sol, 1501 Fruitvale Ave, Oakland, CA 94601 | 2020-10-02 |
1730704289 | Francheska Baloy | Student in an Organized Health Care Education/Training Program | 13585 San Pablo, San Pablo, CA 94601 | 2020-06-10 |
1104476597 | Jonathan Ramos Santiago | Social Worker | 13585 San Pablo, 1st Floor, San Pablo, CA 94601 | 2019-09-17 |
1205329802 | Stefany Menjivar | Student in an Organized Health Care Education/Training Program | 3908 International Blvd, Oakland, CA 94601 | 2018-06-08 |
1710408430 | Martha Alicia Rea | Physician Assistant | 3301 E. 12th St, Suite 113, Oakland, CA 94601 | 2017-07-03 |
1922528744 | Jamie Erin Briskin | Social Worker | 3001 International Blvd., Oakland, CA 94601 | 2017-06-22 |
1194254706 | Emily Lohmeyer | Student in an Organized Health Care Education/Training Program | 1501 Fruitvale Avenue, Oakland, CA 94601 | 2017-06-07 |
1124551494 | Emily Chana Wolfe-roubatis | Midwife | 1450 Fruitvale Ave Fl 3, Oakland, CA 94601 | 2017-04-04 |
1417327776 | Ninfa M. Gutierrez | Counselor | 3124 International Blvd., Oakland, CA 94601 | 2015-09-30 |
1942600424 | Reliable Care Express, Inc. | Non-emergency Medical Transport (VAN) | 828 27th Ave, Oakland, CA 94601 | 2014-09-03 |
Find all providers in zip 94601 |
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 |
---|---|---|---|---|
1265030803 | Alana Lyn Kapust | Social Worker | 590 El Dorado Ave Unit 210, Oakland, CA 94611-5071 | 2020-10-15 |
1497377527 | Yurianna Hyechong Na | Social Worker | 1401 Jackson St Apt 501, Oakland, CA 94612-4086 | 2020-05-12 |
1861026080 | Urban Catalyst Psychotherapy, A Licensed Clinical Social Worker Corpor | Social Worker | 2700 International Blvd Ste 21, Oakland, CA 94601-1508 | 2020-02-26 |
1336789643 | Zosime Calame | Social Worker | 445 Bellevue Ave Ste 300, Oakland, CA 94610-4923 | 2020-01-14 |
1316581796 | Joaquin Turner | Social Worker | 2232 Ivy Dr Apt 27, Oakland, CA 94606-1942 | 2019-10-29 |
1699324152 | Brian Phanichkarn | Social Worker | 675 Hegenberger Rd Ste 214, Oakland, CA 94621-1989 | 2019-09-08 |
1306495007 | Winnie Zhi Liao | Social Worker | 400 Roland Way, Oakland, CA 94621-2012 | 2019-09-05 |
1225686314 | Victoria Anderson | Social Worker | 1038 57th St, Oakland, CA 94608-2706 | 2019-08-31 |
1881242279 | Lauren Martin | Social Worker | 5231 Market St, Oakland, CA 94608-3254 | 2019-08-28 |
1639723703 | Joanna La Torre | Social Worker | 4255 Howe St, Oakland, CA 94611-4704 | 2019-07-27 |
Find all providers in OAKLAND |
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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.