ANTOINE WATKINS (NPI# 1295205441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295205441 |
| Entity Type | Individual |
| Full Name | ANTOINE WATKINS |
| Credential | MSW |
| Practice Address |
3057 Briw Rd Placerville CA 95667-5330 |
| Practice Telephone | 9169126123 |
| Mailing Telephone | 5306427111 |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2018-11-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336687847 | Antoine Watkins | Behavior Technician | 238 S Meridian Rd, Youngstown, OH 44509-2925 | 2017-02-03 |
| Street Address |
3057 BRIW RD |
| City | PLACERVILLE |
| State | CA |
| Zip Code | 95667-5330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508908575 | Kathleen Robertson | Clinical Nurse Specialist | 3057 Briw Rd, Placerville, CA 95667-5321 | 2007-02-13 |
| 1528214053 | Julie Lynn Sandberg | Counselor | 3057 Briw Rd, Placerville, CA 95667-5321 | 2008-08-15 |
| 1770757726 | Deborah S. Schwieger II | Marriage & Family Therapist | 3057 Briw Rd, Placerville, CA 95667-5321 | 2008-04-21 |
| 1982882759 | Marcia Taffy C Warner | Case Manager/Care Coordinator | 3057 Briw Rd, Placerville, CA 95667-5321 | 2008-02-04 |
| 1376726679 | Joyce Kinslow Thomas | Case Manager/Care Coordinator | 3057 Briw Rd, Placerville, CA 95667-5321 | 2007-12-10 |
| 1639351489 | Kathryn Elaine Cain | Case Manager/Care Coordinator | 3057 Briw Rd, Placerville, CA 95667-5321 | 2007-12-04 |
| 1093997827 | Mari Lorraine Robertson | Case Manager/Care Coordinator | 3057 Briw Rd, Placerville, CA 95667-5321 | 2007-12-04 |
| 1508048281 | Amber Mendenhall | Case Manager/Care Coordinator | 3057 Briw Rd, Placerville, CA 95667-5321 | 2007-12-04 |
| 1407038276 | Michelle Ellen Taylor | Case Manager/Care Coordinator | 3057 Briw Rd, Placerville, CA 95667-5321 | 2007-12-03 |
| 1538341755 | Marie Elena Pollard | Case Manager/Care Coordinator | 3057 Briw Rd, Placerville, CA 95667-5321 | 2007-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053919258 | Lacey Etienne Neufeld | Nurse Practitioner | Marshall Transitional Care Unit, 1100 Marshall Way, Placerville, CA 95667 | 2020-10-12 |
| 1497390041 | Summitview Child & Family Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3025 Glee Ln, Placerville, CA 95667 | 2019-11-07 |
| 1225694474 | Camille Borba | Doula | 1212 Lotus Rd, Placerville, CA 95667 | 2019-05-14 |
| 1033610399 | Julie Marie Halsall | Counselor | 2844 Coloma Street, Placerville, CA 95667 | 2018-02-22 |
| 1053839092 | County of El Dorado | Community/Behavioral Health | 3057 Briw Road, Suite A, Placerville, CA 95667 | 2017-08-30 |
| 1982129508 | Brent Charles Ulrici | Counselor | 2986 Colma St, Placerville, CA 95667 | 2017-08-04 |
| 1629464326 | Crystal Coury | Counselor | 5607 Mount Murphy Roas, Garden Valley, CA 95667 | 2015-04-09 |
| 1396141750 | Brown and Ghazal Dental Corporation | Dentist | 3967 Missouri Flat Road, Suite 120, Placerville, CA 95667 | 2014-11-13 |
| 1962808402 | Laura Ann Curry | Counselor | 6765 Green Valley Road, Placerville, CA 95667 | 2014-11-11 |
| 1518374453 | Kelly Lynn Carson | Counselor | 2844 Colona St., Placerville, CA 95667 | 2014-07-11 |
| Find all providers in zip 95667 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598163065 | Danielle Rae Christopherson | Case Manager/Care Coordinator | 2774 Tunnel St, Placerville, CA 95667-3427 | 2014-12-15 |
| 1740625987 | Myra Kim Halton-hooper | Case Manager/Care Coordinator | 929 Spring Street, Placerville, CA 95667-4200 | 2013-05-01 |
| 1184989147 | Tiffany Jean-jan Meyer | Case Manager/Care Coordinator | 2691 Woodridge Ct, Placerville, CA 95667-4007 | 2012-07-05 |
| 1922114552 | Jovon Beck | Case Manager/Care Coordinator | 670 Placerville Dr Ste 2, Placerville, CA 95667-4200 | 2006-08-23 |
| 1861002255 | Teresa Juarez | Case Manager/Care Coordinator | 670 Placerville Dr, Placerville, CA 95667-4200 | 2020-07-31 |
| 1750991105 | Hannah Burgardt | Case Manager/Care Coordinator | 670 Placerville Dr, Placerville, CA 95667-4200 | 2020-07-31 |
| 1336629211 | Brett Klaumenzer | Case Manager/Care Coordinator | 670 Placerville Dr # 2, Placerville, CA 95667-4200 | 2018-08-20 |
| 1659862712 | Katherine Luckscheider | Case Manager/Care Coordinator | 670 Placerville Dr, Placerville, CA 95667-4200 | 2018-05-24 |
| 1811485501 | Toni Morphew | Case Manager/Care Coordinator | 670 Placerville Dr # 2, Placerville, CA 95667-4200 | 2018-04-27 |
| 1790238293 | Garth Goudelock | Case Manager/Care Coordinator | 929 Spring St, Placerville, CA 95667-4543 | 2016-08-01 |
| Find all providers in PLACERVILLE | ||||
| City | PLACERVILLE |
| Zip Code | 95667 |
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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.