PEDRO HEREDIA (NPI# 1174859383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174859383 |
| Entity Type | Individual |
| Full Name | PEDRO HEREDIA |
| Credential | LCSW |
| Practice Address |
200 C St Patterson CA 95363-2701 |
| Mailing Address |
737 W Childs Ave Merced CA 95341-6805 |
| Practice Telephone | 2098928441 |
| Practice Fax Number | 2098925984 |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2017-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW75127 | CA | Behavioral Health & Social Service Providers |
| Street Address |
200 C ST |
| City | PATTERSON |
| State | CA |
| Zip Code | 95363-2701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508848045 | Yudelka Solano | Physician Assistant | 200 C St, Patterson, CA 95363-2701 | 2005-11-18 |
| 1154976561 | Joshua Edward Smith | Physician Assistant | 200 C St, Patterson, CA 95363-2701 | 2019-08-03 |
| 1982126397 | Neha Garg | Internal Medicine | 200 C St, Patterson, CA 95363 | 2017-07-07 |
| 1871993238 | Venkateswarlu Kadiveti | Dentist | 200 C St, Patterson, CA 95363-2701 | 2014-09-03 |
| 1912306796 | Nimmy Martina Rodrigues | Internal Medicine | 200 C St, Patterson, CA 95363-2701 | 2014-08-18 |
| 1942541024 | Golden Valley Health Centers | Clinic/Center | 200 C St, Patterson, CA 95363-2701 | 2013-03-14 |
| 1275821001 | Vaishali Benaka Hebbar | Pediatrics | 200 C St, Patterson, CA 95363-2701 | 2011-07-14 |
| 1942596689 | Amparo Campos | Family Medicine | 200 C St, Patterson, CA 95363-2701 | 2011-06-21 |
| 1497969166 | Golden Valley Health Centers | Family Medicine | 200 C St, Patterson, CA 95363-2701 | 2007-05-10 |
| 1306050075 | Golden Valley Health Centers | Family Medicine | 200 C St, Patterson, CA 95363-2701 | 2007-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871090472 | Quadmed Medical Clinics of California, Inc. | Clinic/Center | 2065 Keystone Pacific Parkway, Patterson, CA 95363 | 2018-04-10 |
| 1295287613 | Chandni Mukesh Patel | Registered Nurse | 200 C Patterson, Patterson, CA 95363 | 2016-11-02 |
| 1700251279 | Carousel Onia | Registered Nurse | 1372 Samantha Creek Drive, Patterson, CA 95363 | 2015-12-09 |
| 1740534726 | Wal-mart Stores Inc | Technician/Technologist | 1030 Sperry Ave, Patterson, CA 95363 | 2012-10-30 |
| 1770725483 | Thomas Earl Klein | Dentist | 101 S El Circulo Ave, Patterson, CA 95363 | 2009-03-26 |
| 1740450808 | Gary Eric F Sanchez | Dentist | 1040 W. Las Palmas Ave., Suite C, Patterson, CA 95363 | 2008-03-05 |
| 1538381967 | Patterson Joint Unified Sd | Local Education Agency (LEA) | 510 Keystone Blvd, Patterson, CA 95363 | 2007-05-03 |
| 1538389234 | Modesto Advanced Diagnostic Imaging Medical Center | Radiology | 1108 Ward Avenue, Building A, Suite 1, Patterson, CA 95363 | 2007-04-26 |
| 1902849177 | Longs Drug Stores California LLC | Durable Medical Equipment & Medical Supplies | 1080 Sperry Ave, Patterson, CA 95363 | 2006-06-14 |
| 1902236169 | Patterson Urgent Care Inc | Family Medicine | 1010 Sperry Ave Ste D, Patterson, CA 95363 | 2013-11-25 |
| Find all providers in zip 95363 | ||||
| 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 |
|---|---|---|---|---|
| 1558793810 | Therapeutic Designs, Inc | Social Worker | 355 W Las Palmas Ave, Lower Level, Patterson, CA 95363-2551 | 2013-08-08 |
| 1871870840 | Jacqueline D. Smallwood | Social Worker | 37 Harmony Rd, Patterson, NY 12563-2730 | 2011-11-04 |
| 1245482215 | Daisy Weisbein | Social Worker | 115 Brimstone Rd, Patterson, NY 12563-2106 | 2008-10-21 |
| 1932250032 | Joyce Lynn Herling | Social Worker | 1281 Route 311, B-202, Patterson, NY 12563-2828 | 2007-01-15 |
| 1932313160 | Golden Valley Health Centers | Social Worker | 200 C St, Patterson, CA 95363-2701 | 2007-05-09 |
| 1790808806 | Arlene G Durk | Social Worker | 40 Jon Barrett Rd, Patterson, NY 12563-2164 | 2007-04-06 |
| 1538290846 | Denise Lorraine Dammeyer | Social Worker | 40 Jon Barrett Rd, Patterson, NY 12563-2164 | 2007-03-08 |
| 1710024732 | Joan Baird | Social Worker | 40 Jon Barrett Rd, Patterson, NY 12563-2164 | 2007-01-31 |
| 1154468189 | Tricia A Frieary | Social Worker | 40 Jon Barrett Rd, Patterson, NY 12563-2164 | 2007-01-31 |
| 1518003177 | Gary J Edelstein | Social Worker | 40 Jon Barrett Rd, Patterson, NY 12563-2164 | 2007-01-30 |
| Find all providers in PATTERSON | ||||
Please comment or provide details below to improve the information on PEDRO HEREDIA.
| 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.