MAUREEN ANN LAVENGOOD (NPI# 1265920235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265920235 |
| Entity Type | Individual |
| Full Name | MAUREEN ANN LAVENGOOD |
| Credential | LCSW |
| Practice Address |
299 12th St Ste B Marina CA 93933-6003 |
| Practice Telephone | 8318833030 |
| Practice Fax Number | 8318833032 |
| Mailing Telephone | 8318833030 |
| Mailing Fax Number | 8318833032 |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2018-04-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCS5138 | CA | Behavioral Health & Social Service Providers |
| Street Address |
299 12TH ST STE B |
| City | MARINA |
| State | CA |
| Zip Code | 93933-6003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306241476 | Tiffany Avery | Counselor | 299 12th St Ste B, Marina, CA 93933 | 2014-10-30 |
| 1528682820 | Ian Olden | Counselor | 299 12th St Ste B, Marina, CA 93933-6003 | 2020-06-02 |
| 1982236337 | Shinay Razo | Counselor | 299 12th St Ste B, Marina, CA 93933-6003 | 2020-02-04 |
| 1063043123 | Rogelio Ismael Santiago | Counselor | 299 12th St Ste B, Marina, CA 93933-6003 | 2020-01-28 |
| 1114565108 | Yesenia Alcala | Counselor | 299 12th St Ste B, Marina, CA 93933-6003 | 2019-12-20 |
| 1023655289 | Joseph Edward Mclaughlin | Counselor | 299 12th St Ste B, Marina, CA 93933-6003 | 2019-12-06 |
| 1548810419 | Susanne Lee Ventura | Counselor | 299 12th St Ste B, Marina, CA 93933-6003 | 2019-09-12 |
| 1902464910 | Veronica Pascual-arroyo | Counselor | 299 12th St Ste B, Marina, CA 93933-6003 | 2019-06-04 |
| 1497214027 | Regina Williams | Counselor | 299 12th St Ste B, Marina, CA 93933-6003 | 2019-03-13 |
| 1477010254 | Marlayna Wulf | Counselor | 299 12th St Ste B, Marina, CA 93933-6003 | 2019-02-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841803012 | Caterina Poehner | Social Worker | 617 Bayonet Cirle, Marina, CA 93933 | 2020-08-28 |
| 1972036499 | Stephanie Blalock | Counselor | 617 Bayonet Circle, Marina, CA 93933 | 2017-04-11 |
| 1588110340 | Monique Theaker | Counselor | 299b Twelfth Street, Marina, CA 93933 | 2016-08-31 |
| 1053709220 | Mehry Khazan | Marriage & Family Therapist | 299 Twelfth Street, Marina, CA 93933 | 2014-12-22 |
| 1881037141 | Marilyn Anderson | Counselor | 3043 Macarthur Dr, Marina, CA 93933 | 2013-04-16 |
| 1669744280 | Leslie Penley | Dentist | 3154 Deforest Rd. Suitea, Marina, CA 93933 | 2012-01-27 |
| 1215221510 | Janet Hernandez Barajas | Social Worker | 299a 12th Street, Marina, CA 93933 | 2011-06-03 |
| 1538302740 | Sonia Cortes | Counselor | 613 Bayonet Cir., Marina, CA 93933 | 2009-04-17 |
| 1144476003 | Carolina Cortez | Counselor | 2982 Bayonet Ct, Marina, CA 93933 | 2008-08-12 |
| 1295918563 | Tucci Learning Solutions, Inc. | Community/Behavioral Health | 3180 Imjin Road, Suite 149, Marina, CA 93933 | 2007-12-10 |
| Find all providers in zip 93933 | ||||
| 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 |
|---|---|---|---|---|
| 1972939155 | Donald Miles Williams Jr. | Social Worker | 201 9th St # 122, Marina, CA 93933-6039 | 2013-09-19 |
| 1215221510 | Janet Hernandez Barajas | Social Worker | 299a 12th Street, Marina, CA 93933 | 2011-06-03 |
| 1063722031 | Alexis Renee Tovar | Social Worker | 201 9th St # Mont-122, Marina, CA 93933-6039 | 2010-10-08 |
| 1366699472 | Melinda Susan Wolf | Social Worker | 182 Linde Cir, Marina, CA 93933-2205 | 2008-08-20 |
| 1134775877 | Rosanna Erbe | Social Worker | 209 9th St, Marina, CA 93933-6039 | 2019-08-16 |
| 1821556655 | Richard Christian Vattuone | Social Worker | 201 9th St, Marina, CA 93933-6039 | 2019-03-11 |
| 1922519552 | Trevor Acheson | Social Worker | 201 9th Street, Marina, CA 93933 | 2017-10-23 |
| 1669848974 | Hugo Garcia | Social Worker | 299 12th St Ste A, Marina, CA 93933-6003 | 2015-08-20 |
| 1386037257 | Allyson Rose Cumella | Social Worker | 201 9th St, Marina, CA 93933-6039 | 2015-03-16 |
| 1295159119 | Michelle Thomas | Social Worker | 299 12th St Ste A, Marina, CA 93933-6003 | 2014-02-12 |
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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.