MR. JEREMY DAVID BAILEY (NPI# 1184082109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184082109 |
| Entity Type | Individual |
| Full Name | MR. JEREMY DAVID BAILEY |
| Credential | ACSW |
| Practice Address |
534 B St Santa Rosa CA 95401-5211 |
| Mailing Address |
781 Hoen Ct Santa Rosa CA 95405-6720 |
| Practice Telephone | 7075790465 |
| Mailing Telephone | 4153368935 |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2016-02-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
ASW68423 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144767013 | Jeremy Bailey | Marriage & Family Therapist | 11762 S State St Ste 360, Draper, UT 84020-7166 | 2017-01-30 |
| Street Address |
534 B ST |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95401-5211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437171543 | Lomi School Foundation | Counselor | 534 B St, Santa Rosa, CA 95401-5211 | 2006-07-25 |
| 1558975664 | Annelise M Scellier | Marriage & Family Therapist | 534 B St, Santa Rosa, CA 95401-5211 | 2020-09-04 |
| 1750994901 | Eli Gifford | Marriage & Family Therapist | 534 B St, Santa Rosa, CA 95401-5211 | 2020-08-27 |
| 1962026898 | Jenny D Patterson-kerr | Marriage & Family Therapist | 534 B St, Santa Rosa, CA 95401-5211 | 2020-06-06 |
| 1740830611 | Travis Glen Sebera | Marriage & Family Therapist | 534 B St, Santa Rosa, CA 95401-5211 | 2019-09-12 |
| 1538718580 | Kimberly Bishop | Marriage & Family Therapist | 534 B St, Santa Rosa, CA 95401-5211 | 2019-09-11 |
| 1528613304 | Claire Kathrin Barone | Marriage & Family Therapist | 534 B St, Santa Rosa, CA 95401-5211 | 2019-08-07 |
| 1487208500 | Emily Linders | Counselor | 534 B St, Santa Rosa, CA 95401-5211 | 2019-07-26 |
| 1639737471 | Leah Marie Fairbank | Marriage & Family Therapist | 534 B St, Santa Rosa, CA 95401-5211 | 2019-06-05 |
| 1750863544 | Jonathan David Seiberlich-wheeler | Psychologist | 534 B St, Santa Rosa, CA 95401-5211 | 2018-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972148575 | Megan Elizabeth Jones | In Home Supportive Care | 1239 Eardley Ave, Santa Rosa, CA 95401 | 2019-11-07 |
| 1801447230 | Patty Macisaac | Technician | 3221 Oak Farm Lane, Santa Rosa, CA 95401 | 2019-09-26 |
| 1386114981 | Victoria Maria Guillory | Dental Hygienist | 140 Stony Point Road, Suite A, Santa Rosa, CA 95401 | 2018-11-27 |
| 1811470727 | Chemarin Eve Boyd | Student in an Organized Health Care Education/Training Program | 1260 N Dutton Avenue, 225, Santa Rosa, CA 95401 | 2018-09-07 |
| 1073008181 | Cristavel Camacho | Behavioral Analyst | 1439 Range Ave, #101, Santa Rosa, CA 95401 | 2018-06-30 |
| 1619479102 | Victoria King | Behavior Technician | 1335 N. Dutton Ave., Santa Rosa, CA 95401 | 2018-03-01 |
| 1114436060 | Lacey Lynn Palmer | Counselor | 341 Irwin Lane, Santa Rosa, CA 95401 | 2017-09-22 |
| 1720530587 | Compassionate Homecare Solutions, LLC | In Home Supportive Care | 131 A Stony Circle, Suite 500, Santa Rosa, CA 95401 | 2016-10-27 |
| 1366998981 | William Glenn | Marriage & Family Therapist | 1496 Willowside Road, Santa Rosa, CA 95401 | 2016-09-01 |
| 1790144046 | Advocacy Home Nursing, Inc | Home Health | 1400 North Dutton Avenue, Suite 20, Santa Rosa, CA 95401 | 2016-02-15 |
| Find all providers in zip 95401 | ||||
| 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 |
|---|---|---|---|---|
| 1568069193 | Penelope L Salzgeber | Social Worker | 1815 Bodie St, Santa Rosa, CA 95403-2497 | 2020-10-06 |
| 1225696321 | Ari Mechles | Social Worker | 3434 Deer Trail Rd, Santa Rosa, CA 95404-1602 | 2019-06-03 |
| 1598231235 | Rosie Benzonelli | Social Worker | 850 Shady Oak Dr, Santa Rosa, CA 95404-2780 | 2018-10-21 |
| 1770059420 | Tina R Moore | Social Worker | 3000 Cleveland Ave Ste 201, Santa Rosa, CA 95403-2117 | 2018-10-21 |
| 1356824189 | Erica Joeverley Bosque | Social Worker | 405 Jackson Dr, Santa Rosa, CA 95409-4209 | 2018-09-07 |
| 1609389212 | Heather Ludvigson | Social Worker | 2301 Circadian Way Ste C, Santa Rosa, CA 95407-5457 | 2017-11-06 |
| 1386160208 | Caroline Crowell Healy | Social Worker | 1459 Glenbrook Dr, Santa Rosa, CA 95401-6019 | 2017-08-22 |
| 1205295979 | Sandra Lee Krikorian | Social Worker | 101 E Street, Suite 312, Santa Rosa, CA 95404 | 2016-02-23 |
| 1437525094 | Allison Mcconnell Pieraccini | Social Worker | 5926 Monte Verde Dr, Santa Rosa, CA 95409-3926 | 2015-08-18 |
| 1972847481 | Christina Zapata | Social Worker | 333 Benton St, Santa Rosa, CA 95401 | 2012-11-21 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95401 |
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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.