MS. VIRGINIA LILLIAN DURIVAGE (NPI# 1265780449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265780449 |
| Entity Type | Individual |
| Full Name | MS. VIRGINIA LILLIAN DURIVAGE |
| Credential | LCSW |
| Practice Address |
3424 E 4th St Long Beach CA 90814-1557 |
| Practice Telephone | 5628521044 |
| Mailing Telephone | 5628521044 |
| Enumeration Date | 2012-08-20 |
| Last Update Date | 2012-08-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
27476 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CA DRIVERS LICENSE | D9337434 | 01 |
| Street Address |
3424 E 4TH ST |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90814-1557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366595332 | Roger Justin Wood | Marriage & Family Therapist | 3424 E 4th St, Long Beach, CA 90814 | 2007-01-20 |
| 1255769022 | Gregory S Corbin | Marriage & Family Therapist | 3424 E 4th St, Long Beach, CA 90814-1557 | 2013-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164797056 | Recovery At Sea | Community/Behavioral Health | 2345 East 4th Street, Long Beach, CA 90814 | 2012-03-12 |
| 1982869616 | James R Gaither Jr. | Rehabilitation Practitioner | 2017 E 4th Street, Long Beach, CA 90814 | 2008-07-22 |
| 1760676274 | Charles Edward Criddle | Chiropractor | 352 Newport Ave, Long Beach, CA 90814 | 2007-08-29 |
| 1891911459 | Ting-wey Yen | Dentist | 319 Redondo Ave., Long Beach, CA 90814 | 2007-04-18 |
| 1194850495 | Donna Marie Camagay Calima | Dentist | 389 Redondo Ave, Long Beach, CA 90814 | 2007-02-23 |
| 1467558338 | Rudy Steven Mendoza | Dentist | 392 Redondo Ave, Long Beach, CA 90814 | 2006-09-16 |
| 1578670766 | Seany Renfrow | Psychologist | 5170 Colorado, Long Beach, CA 90814 | 2006-08-24 |
| 1245210368 | Johnny L Triplett | Anesthesiology | 4674 East Barker Way, Long Beach, CA 90814 | 2006-01-17 |
| 1992960371 | Maria Veronica Uvero Racelis | Rehabilitation Practitioner | 2017 E 4th Street, Long Beach, CA 90814 | 2008-07-24 |
| 1639334360 | Ismael Morales | Rehabilitation Practitioner | 2017 E 4th Street, Long Beach, CA 90814 | 2008-07-22 |
| Find all providers in zip 90814 | ||||
| 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 |
|---|---|---|---|---|
| 1427657519 | Alana B. Williams | Social Worker | 527 Mockingbird Dr, Long Beach, MS 39560-3118 | 2020-10-20 |
| 1760080709 | Adriana Michelle Ocampo | Social Worker | 4500 E Pacific Coast Hwy Ste 320, Long Beach, CA 90804-3271 | 2020-10-12 |
| 1356956387 | Jessica Margarita Jimenez | Social Worker | 2206 San Anseline Ave Apt 7, Long Beach, CA 90815-2133 | 2020-09-15 |
| 1700494218 | Sonja Roberts Lcsw Psychotherapy Pllc | Social Worker | 120 W Park Ave Ste 215a, Long Beach, NY 11561-3301 | 2020-07-21 |
| 1144838178 | Vanessa L Pezo | Social Worker | 3722 1/2 E Esther St, Long Beach, CA 90804-2007 | 2020-07-15 |
| 1912524182 | Shaylin Malia Madrid | Social Worker | 769 Termino Ave # A, Long Beach, CA 90804-5329 | 2020-07-02 |
| 1053940098 | Daniel Green | Social Worker | 100 Oceangate Ste 610, Long Beach, CA 90802-4365 | 2020-04-02 |
| 1598221376 | Cindy Srivijittrakarn | Social Worker | 5901 E 7th St Bldg 133, Long Beach, CA 90822-5201 | 2019-02-16 |
| 1174090849 | Beth Eiser Sterling | Social Worker | 3131 Julian Ave, Long Beach, CA 90808-4436 | 2018-10-31 |
| 1376027938 | Abigail Joy Dominguez | Social Worker | 2725 Hackett Ave, Long Beach, CA 90815 | 2018-09-19 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90814 |
Please comment or provide details below to improve the information on MS. VIRGINIA LILLIAN DURIVAGE.
| 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.