MR. GARY C WENK (NPI# 1255438909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255438909 |
| Entity Type | Individual |
| Full Name | MR. GARY C WENK |
| Credential | LCSW |
| Practice Address |
1094 Cudahy Pl Suite 314 San Diego CA 92110-3931 |
| Practice Telephone | 6193419297 |
| Mailing Telephone | 6193419297 |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2011-03-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCS 16578 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1094 CUDAHY PL SUITE 314 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92110-3931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861491292 | Michael Hammer | Social Worker | 1094 Cudahy Pl, Suite 314, San Diego, CA 92110-3931 | 2005-07-18 |
| 1144513441 | Allison Underhill | Counselor | 1094 Cudahy Pl, Suite 314, San Diego, CA 92110-3931 | 2011-05-18 |
| 1932408754 | Marla Monica Kingkade | Case Manager/Care Coordinator | 1094 Cudahy Pl, Suite 314, San Diego, CA 92110-3931 | 2011-03-18 |
| 1891090031 | Cynthia Ann Van Lom | Marriage & Family Therapist | 1094 Cudahy Pl, Suite 314/312, San Diego, CA 92110-3931 | 2011-01-19 |
| 1770898066 | Vanessa Marie Rodriguez | Marriage & Family Therapist | 1094 Cudahy Pl, Suite 314, San Diego, CA 92110-3931 | 2010-08-11 |
| 1851626477 | Terry Lipson Allon | Social Worker | 1094 Cudahy Pl, Suite 314, San Diego, CA 92110-3931 | 2009-10-15 |
| 1104052380 | Christina Susann Henkel | Marriage & Family Therapist | 1094 Cudahy Pl, Suite #314, San Diego, CA 92110-3931 | 2009-06-02 |
| 1619119104 | Chad M Arnold | Marriage & Family Therapist | 1094 Cudahy Pl, San Diego, CA 92110-3931 | 2009-03-30 |
| 1063658938 | Warren Ignazio Basile | Marriage & Family Therapist | 1094 Cudahy Pl, Suite 314, San Diego, CA 92110-3931 | 2008-12-26 |
| 1124298393 | Karen Hancock Dunford | Marriage & Family Therapist | 1094 Cudahy Pl, Suite 314, San Diego, CA 92110-3931 | 2008-03-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669021713 | Ruben Daniel Gutierrez | Marriage & Family Therapist | 4141 Pacific Coast Hwy, San Diego, CA 92110 | 2019-09-10 |
| 1548724081 | Denise Ellen Thompson | Counselor | 3255 Wings Street, San Diego, CA 92110 | 2019-01-29 |
| 1801378716 | Michelle Lisa Jean Crawford | Student in an Organized Health Care Education/Training Program | 3767 Central Avenue, San Diego, CA 92110 | 2018-09-06 |
| 1427539048 | Allison Turrell | Case Manager/Care Coordinator | 4930 Naples Street, San Diego, CA 92110 | 2018-08-22 |
| 1750872768 | Matthew Langworthy | Physical Therapist | 3405 Kenyon St Ste 212, San Diego, CA 92110 | 2018-05-24 |
| 1245748342 | The One Health Boutique, LLC | Chiropractor | 5350 Riley St, San Diego, CA 92110 | 2018-01-11 |
| 1437670155 | Monique A Fernandez | Counselor | 3132 Jefferson Street, San Diego, CA 92110 | 2017-07-03 |
| 1538510391 | Mayu Winters | Registered Nurse | 853 Rosecrans St, San Diego, CA 92110 | 2016-06-23 |
| 1376998864 | Briniti Ichull | Specialist | 3941 Kurtz St, San Diego, CA 92110 | 2016-05-03 |
| 1912352576 | Healthcare Services, Inc. | Substance Abuse Rehabilitation Facility | 3880 Rosecrans Street, San Diego, CA 92110 | 2016-05-02 |
| Find all providers in zip 92110 | ||||
| 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] |
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|---|---|---|---|---|
| 1154920536 | Gillian Boyd | Social Worker | 3147 Eel Alley Building 271, Room 106, San Diego, CA 92136-0001 | 2020-10-18 |
| 1194338087 | Courage Over Comfort Counseling Licensed Clinical Social Worker PC | Social Worker | 4283 El Cajon Blvd Ste 226, San Diego, CA 92105-1289 | 2020-08-28 |
| 1619580057 | Joseph Stephen Mcconico | Social Worker | 5274 Mount Alifan Dr, San Diego, CA 92111-2621 | 2020-08-25 |
| 1821600529 | David James Prince | Social Worker | 1498 13th Street Bldg 184, San Diego, CA 98132 | 2020-08-24 |
| 1407467392 | Tyler Drew Willis | Social Worker | 4665 Voltaire St, San Diego, CA 92107-1762 | 2020-08-13 |
| 1174132575 | Sarah Greenstein | Social Worker | 11860 Carmel Creek Rd, San Diego, CA 92130-2474 | 2020-07-31 |
| 1730798190 | Joelle G Johnson | Social Worker | 4904 Mansfield St, San Diego, CA 92116-1936 | 2020-07-30 |
| 1881203503 | Micheaela Whaley | Social Worker | 4417 30th St Ste 112, San Diego, CA 92116-4284 | 2020-07-28 |
| 1033737812 | Clara Loginov | Social Worker | 6727 Mohawk St, San Diego, CA 92115-1642 | 2020-07-08 |
| 1780208553 | Ai-nhat Ngo | Social Worker | 9360 Activity Rd Ste B, San Diego, CA 92126-4410 | 2020-06-07 |
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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.