VERONICA IM (NPI# 1255707857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255707857 |
| Entity Type | Individual |
| Full Name | VERONICA IM |
| Credential | MSW, ASW |
| Practice Address |
3540 Howard Way Suite 150 Costa Mesa CA 92626-1417 |
| Mailing Address |
3060 Madison Ave Apt. D25 Fullerton CA 92831-2586 |
| Practice Telephone | 9496469227 |
| Mailing Telephone | 5626737065 |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2016-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | ASW #72259 | CA | Behavioral Health & Social Service Providers |
| Street Address |
3540 HOWARD WAY SUITE 150 |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92626-1417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972632610 | Orange County Association for Mental Health | Counselor | 3540 Howard Way, Suite 150, Costa Mesa, CA 92626-1417 | 2007-03-05 |
| 1558819409 | Brenda Servin | Counselor | 3540 Howard Way, Suite 150, Costa Mesa, CA 92626-1417 | 2016-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536982 | Sergio Gutierrez | Behavior Technician | 3303 Harbor Blvd., Suite B8, Costa Mesa, CA 92626 | 2020-10-22 |
| 1780201848 | Kelly Chauvet | Behavior Technician | 1503 Nutmeg Place Suite 110, Costa Mesa, CA 92626 | 2020-07-06 |
| 1316564610 | Timo Rosa | Behavior Technician | 1503 Nutmeg Place, Suite 110, Costa Mesa, CA 92626 | 2020-07-02 |
| 1255966115 | Dalia A Sehweil | Behavior Technician | 1111 Baker, Costa Mesa, CA 92626 | 2020-03-11 |
| 1265071096 | Austin Stotelmyre | Behavior Technician | 1111 Baker St Costa Mesa 92626, Costa Mesa, CA 92626 | 2019-12-26 |
| 1396383022 | The Open Table | Community/Behavioral Health | 151 Kalmus Dr. Bldg C, Suite 100, Costa Mesa, CA 92626 | 2019-12-12 |
| 1851933550 | Jennifer Rivera | Behavior Technician | 1111 Baker St. Unit #a, Costa Mesa, CA 92626 | 2019-10-14 |
| 1962053595 | Peter Na | Behavior Technician | Behavior Functions 3303 Harbor Blvd, Ste B8, Costa Mesa, CA 92626 | 2019-09-25 |
| 1346897147 | Jennifer Lopez | Behavior Technician | 555 Alton Blvd Suite 150, Costa Mesa, CA 92626 | 2019-08-26 |
| 1679134084 | Danny Garcia Chiropractic, PC | Chiropractor | 1503 South Coast Drive, Suite 319, Costa Mesa, CA 92626 | 2019-06-26 |
| Find all providers in zip 92626 | ||||
| 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 |
|---|---|---|---|---|
| 1053854562 | Jennifer Ann Cordero | Social Worker | 1139 Charleston St, Costa Mesa, CA 92626-2706 | 2016-12-01 |
| 1023399003 | Penelope Salinger | Social Worker | 151 Kalmus Dr Ste K3, Costa Mesa, CA 92626-5975 | 2011-09-02 |
| 1093049991 | Jessica Cameron Butler | Social Worker | 2946 Ceylon Dr, Costa Mesa, CA 92626-3641 | 2009-09-24 |
| 1609928027 | Paul G Beas | Social Worker | 3188 Airway Ave Unit F, Costa Mesa, CA 92626-4652 | 2007-01-17 |
| 1740887181 | Aikaterini Katsivalis | Social Worker | 2801 Bristol St, Costa Mesa, CA 92626-5996 | 2020-10-08 |
| 1396267860 | Jennifer Jazmine Rivera | Social Worker | 1503 S Coast Dr Ste 202, Costa Mesa, CA 92626-1527 | 2017-07-16 |
| 1730551672 | Natalie Sperling | Social Worker | 275 Baker St E Ste A, Costa Mesa, CA 92626-4566 | 2015-10-29 |
| 1033585351 | Miranda Jones | Social Worker | 1901 Newport Blvd, Costa Mesa, CA 92627-2278 | 2015-08-20 |
| 1063895894 | Tiffani Milstead | Social Worker | 3151 Airway Ave, D-1, Costa Mesa, CA 92626-4607 | 2015-06-29 |
| 1689056426 | Vincent Lin | Social Worker | 3151 Airway Ave, Suite D-1, Costa Mesa, CA 92626-4607 | 2015-06-28 |
| Find all providers in COSTA MESA | ||||
| City | COSTA MESA |
| Zip Code | 92626 |
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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.