TISA RAE GARRISON (NPI# 1265684054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265684054 |
| Entity Type | Individual |
| Full Name | TISA RAE GARRISON |
| Credential | LCSW |
| Practice Address |
1425 1/2 Letts Ave Corcoran CA 93212-2717 |
| Practice Telephone | 5597627044 |
| Mailing Telephone | 5597627044 |
| Enumeration Date | 2008-10-13 |
| Last Update Date | 2008-10-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCS 21176 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1425 1/2 LETTS AVE |
| City | CORCORAN |
| State | CA |
| Zip Code | 93212-2717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841746583 | Luis Alvarez | Specialist/Technologist | 1000 Alder Ave, Corcoran, CA 93212 | 2016-09-01 |
| 1881893667 | William Joseph Mcguinness | Internal Medicine | 4001 W. King Ave, Corcoran, CA 93212 | 2007-07-12 |
| 1265576912 | Kings View Counseling Services for Kings Count | Community/Behavioral Health | 1002 Dairy Avenue, Corcoran, CA 93212 | 2007-02-16 |
| 1255480406 | John Vernon Dale Richardson | Dentist | 1409 Whitley Ave, Suite D, Corcoran, CA 93212 | 2007-01-09 |
| 1093748923 | Michael Alan Ross | Physician Assistant | 900 Quebec, Corcoran, CA 93212 | 2006-07-07 |
| 1407460454 | Tiffany Jean Sparks-mendoza | Social Worker | 4001 King Ave., Corcoran, CA 93212 | 2020-09-06 |
| 1376190876 | Corrections and Rehabilitation | Pharmacy | 4001 King Avenue, Corcoran, CA 93212 | 2019-08-20 |
| 1639507825 | Benjamin J Adam | Psychologist | 4001 King Ave, Corcoran, CA 93212 | 2013-10-24 |
| 1427317700 | Carolyn Virginia Bola | Psychologist | 4001 King Ave, Corcoran, CA 93212 | 2012-05-08 |
| 1629379367 | Rachel Simmi Jerdin | Social Worker | 900 Quebec Ave, Corcoran, CA 93212 | 2010-11-11 |
| Find all providers in zip 93212 | ||||
| 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 |
|---|---|---|---|---|
| 1407460454 | Tiffany Jean Sparks-mendoza | Social Worker | 4001 King Ave., Corcoran, CA 93212 | 2020-09-06 |
| 1841808490 | Siria Gomez-castillo | Social Worker | 900 Quebec Ave, Corcoran, CA 93212-9715 | 2020-07-20 |
| 1902451636 | Jessica Marquez | Social Worker | 4001 King Ave, Corcoran, CA 93212-9611 | 2019-08-08 |
| 1841766904 | Amy B Johnson | Social Worker | 6552 Carriage Way, Corcoran, MN 55340-4443 | 2018-10-16 |
| 1730679457 | Cindi Dardin-box | Social Worker | 900 Quebec Ave, Corcoran, CA 93212-9715 | 2018-05-17 |
| 1760979348 | Cecilia Gomez Corwin | Social Worker | 900 Quebec Ave, Corcoran, CA 93212-9715 | 2018-04-18 |
| 1427411628 | Jessica Hurns | Social Worker | 900 Quebec Ave, Corcoran, CA 93212-9715 | 2016-04-04 |
| 1144681404 | Meagan Boersma | Social Worker | 4001 King Ave, Corcoran, CA 93212-9611 | 2016-03-15 |
| 1407265184 | Anthony Valdez Casillas | Social Worker | 4001 King Ave, Corcoran, CA 93212-9611 | 2014-08-07 |
| 1477973998 | Michael Polder | Social Worker | 900 Quebec Ave, Corcoran, CA 93212-9715 | 2014-04-23 |
| Find all providers in CORCORAN | ||||
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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.