MS. KATHLEEN MCCORMICK (NPI# 1225164585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225164585 |
| Entity Type | Individual |
| Full Name | MS. KATHLEEN MCCORMICK |
| Credential | LCSW |
| Practice Address |
6 Petaluma Blvd N Suite B4 Petaluma CA 94952-3050 |
| Mailing Address |
615 Kentucky St Petaluma CA 94952-2853 |
| Practice Telephone | 5102056854 |
| Practice Fax Number | 7079817919 |
| Mailing Telephone | 5102056854 |
| Mailing Fax Number | 7079817919 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2011-03-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
24602 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992008833 | Kathleen Collins Mccormick | Counselor | 6547 160th St, 2f, Fresh Meadows, NY 11365-2557 | 2010-12-15 |
| 1568552867 | Kathleen Ann Mccormick | Social Worker | 26084 Governor Stockley Rd, Georgetown, DE 19947-2566 | 2006-10-15 |
| 1790201259 | Kathleen M Mccormick | Licensed Vocational Nurse | 25402 Pacifica Ave, Mission Viejo, CA 92691 | 2017-08-16 |
| 1972926525 | Kathleen Mccormick | Licensed Practical Nurse | 7 Seafield Ln, Westhampton Beach, NY 11978-2714 | 2014-01-31 |
| 1104168442 | Kathleen Mccormick | Dentist | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2013-03-25 |
| 1427013275 | Kathleen Ann Mccormick | Family Medicine | 101 Nw 12th Ave, Suite 107, Battle Ground, WA 98604-9141 | 2006-04-17 |
| Street Address |
6 PETALUMA BLVD N SUITE B4 |
| City | PETALUMA |
| State | CA |
| Zip Code | 94952-3050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649801010 | Katherine Brydges Leroy | Counselor | 6 Petaluma Blvd N, Petaluma, CA 94952-3050 | 2020-02-04 |
| 1518521988 | Mary Dunnigan | Marriage & Family Therapist | 6 Petaluma Blvd N, Petaluma, CA 94952-3050 | 2019-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587680 | Benjamin R Idarius | Behavior Technician | 101 H St. Ste. L, Petaluma, CA 94952 | 2019-06-17 |
| 1518457159 | Kyleen Joan Romero | Behavioral Analyst | 25 Graylawn Ave, Petaluma, CA 94952 | 2018-05-17 |
| 1437647526 | John Scruggs | Behavior Technician | 301 H St. Suit L, Petaluma, CA 94952 | 2018-04-25 |
| 1811404684 | Brief and Strategic Counseling Service | Counselor | 843 Chardonnay Cir., Petaluma, CA 94952 | 2018-01-03 |
| 1730638396 | Jennifer Lee Sloan | Acupuncturist | 517 Hayes Lane, Petaluma, CA 94952 | 2016-09-23 |
| 1982057295 | Elene Hwa-yihg Chung | Acupuncturist | 130 Graylawn Ave.,#f, Petaluma, CA 94952 | 2016-07-21 |
| 1457773624 | Lisa Hirsch Cordeiro | Marriage & Family Therapist | 700 Sixth Street, Petaluma, CA 94952 | 2014-01-07 |
| 1811271075 | Jacques Philippe Archer | Massage Therapist | 131b Kentucky St., Petaluma, CA 94952 | 2011-10-06 |
| 1477841609 | Karna Licia Dawson | Social Worker | 205 Keller St., Petaluma, CA 94952 | 2011-07-21 |
| 1497051783 | Melissa Beth Wilson | Acupuncturist | 155a Kentucky Street, Petaluma, CA 94952 | 2011-02-03 |
| Find all providers in zip 94952 | ||||
| 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 |
|---|---|---|---|---|
| 1588202915 | Mary Haynes | Social Worker | 6510 Petersen Rd, Petaluma, CA 94952-9223 | 2019-12-17 |
| 1588147201 | Kristine Tergesen | Social Worker | 124 Howard St, Petaluma, CA 94952-2922 | 2018-09-09 |
| 1619402278 | Heather Ghiglieri | Social Worker | 1707 Southgate Dr, Petaluma, CA 94954-3001 | 2017-04-20 |
| 1780060053 | Angela Brownemiller | Social Worker | 775 Baywood Dr Ste 111a, Petaluma, CA 94954-5500 | 2015-08-10 |
| 1841622768 | Jennifer Brazinsky Jones | Social Worker | 205 Keller St Ste 205, Petaluma, CA 94952-2878 | 2013-08-01 |
| 1477841609 | Karna Licia Dawson | Social Worker | 205 Keller St., Petaluma, CA 94952 | 2011-07-21 |
| 1164711404 | Laura J Schnizler | Social Worker | 941 B St, Petaluma, CA 94952-4024 | 2011-04-06 |
| 1518279926 | Christina Marie Ingenito | Social Worker | 204 G Street, Suite 203, Petaluma, CA 94952 | 2010-07-14 |
| 1235277047 | Mary Louise Swift | Social Worker | 305 Bishop Circle, Petaluma, CA 94954 | 2007-02-02 |
| 1790832251 | Kathleen Adams | Social Worker | 7 4th St Ste 42, Petaluma, CA 94952-7402 | 2007-01-05 |
| Find all providers in PETALUMA | ||||
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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.