EVERETT D WONG (NPI# 1215229547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215229547 |
| Entity Type | Individual |
| Full Name | EVERETT D WONG |
| Credential | MSW |
| Practice Address |
1045 W Redondo Beach Blvd Ste 150 Gardena CA 90247 |
| Practice Telephone | 3107671221 |
| Practice Fax Number | 3107671403 |
| Mailing Telephone | 3107671221 |
| Mailing Fax Number | 3107671403 |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2012-02-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679520985 | Everett R Wong | Physical Therapist | 1090 Keolu Dr, Suite 104, Kailua, HI 96734-3871 | 2006-05-30 |
| Street Address |
1045 W REDONDO BEACH BLVD STE 150 |
| City | GARDENA |
| State | CA |
| Zip Code | 90247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204707 | Melissa Reyes | Home Health Aide | 835 N Rosecrans Ave Apt 125, Gardena, CA 90247 | 2020-10-30 |
| 1538645569 | Christopher Jabarie Markham | Case Manager/Care Coordinator | 12817 S Hoover St Apt 14, Gardena, CA 90247 | 2018-07-12 |
| 1013404243 | Sunshine Community Resource Organization Center | Counselor | 1202 W 135th Street, Gardena, CA 90247 | 2018-04-13 |
| 1124537261 | Nina Vu | Pharmacist | 14416 Plum Lane, Unit 3, Gardena, CA 90247 | 2017-09-20 |
| 1356871008 | Delaram Moshfegh | Pharmacist | 1735 Artesia Blvd, Gardena, CA 90247 | 2017-06-15 |
| 1497290522 | Better Vision Optical | Eyewear Supplier (Equipment, not the service) | 1121 W Gardena Blvd Ste A, Gardena, CA 90247 | 2016-12-28 |
| 1013394832 | Lydia Gonzalez | Case Management | 13605 S Vermont Ave Apt 16, Gardena, CA 90247 | 2015-04-30 |
| 1396147682 | Daniel Medical Group, Inc. | Acupuncturist | 2015 W Redondo Beach Blvd., Ste F, Gardena, CA 90247 | 2014-09-18 |
| 1386913663 | Linda Doreen Humphries | Nurse Practitioner | 1141 W. Redondo Beach Blvd., Suite 402, Gardena, CA 90247 | 2011-12-15 |
| 1902196496 | Iris Yvette Knighten | Counselor | 16914 S. Berendo Ave # B, Gardena, CA 90247 | 2011-04-18 |
| Find all providers in zip 90247 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649758020 | Candice Kent | Social Worker | 14030 S Ainsworth St, Gardena, CA 90247-2130 | 2018-07-30 |
| 1891967162 | Aileen M Malig | Social Worker | 1300 W 155th St Ste 103, Gardena, CA 90247-4049 | 2008-03-27 |
| 1851641203 | Stacy Ko | Social Worker | 14112 S Kingsley Dr, Gardena, CA 90249-3018 | 2012-09-13 |
| 1356699862 | Andrea Nicole Dolatre | Social Worker | 130 W Victoria St, Gardena, CA 90248-3523 | 2012-08-15 |
| 1760741763 | Christina Marie Newport | Social Worker | 130 W Victoria St, Gardena, CA 90248-3523 | 2012-05-10 |
| 1659689321 | Erika Lynn Houston-samuels | Social Worker | 130 W Victoria St, Gardena, CA 90248-3523 | 2010-09-16 |
| 1518287952 | Connie L Werner | Social Worker | 130 W Victoria St, Gardena, CA 90248-3523 | 2010-06-08 |
| 1578887881 | Erica J Robledo | Social Worker | 130 W Victoria St, Gardena, CA 90248-3523 | 2010-03-16 |
| 1932331709 | Daisy Beltran | Social Worker | 130 W Victoria St, Gardena, CA 90248-3523 | 2009-08-12 |
| 1306098454 | Maria Rosario Garcia | Social Worker | 130 W Victoria St, Gardena, CA 90248-3523 | 2008-10-21 |
| Find all providers in GARDENA | ||||
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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.