CASSANDRA OCTOBER (NPI# 1306921838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306921838 |
| Entity Type | Individual |
| Full Name | CASSANDRA OCTOBER |
| Credential | LICSW |
| Practice Address |
5901 East Seventh Street Veterans Administration Medical Center Long Beach CA 90822 |
| Mailing Address |
2775 Mesa Verde Dr E Apt. Q-204 Costa Mesa CA 92626-4957 |
| Practice Telephone | 5628268000 |
| Mailing Telephone | 7142411956 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
1018771 | MA | Behavioral Health & Social Service Providers |
| Street Address |
5901 EAST SEVENTH STREET VETERANS ADMINISTRATION MEDICAL CENTER |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811005473 | Anita Cordova | Nurse Practitioner | 5901 East Seventh Street, Long Beach, CA 90822 | 2006-08-25 |
| 1235677220 | Elizabeth Muratore | Nurse Practitioner | 5901 East Seventh Street, Long Beach, CA 90822 | 2017-02-09 |
| 1750726758 | Nicolas Limthong | Student in an Organized Health Care Education/Training Program | 5901 East Seventh Street, Va Long Beach, Long Beach, CA 90822 | 2013-05-03 |
| 1689017428 | Benjamin Sanders | Student in an Organized Health Care Education/Training Program | 5901 East Seventh Street, Long Beach, CA 90822 | 2013-04-11 |
| 1053670810 | Doran Bott Spencer | Ophthalmology | 5901 East Seventh Street, Va Long Beach, Long Beach, CA 90822 | 2012-05-14 |
| 1972899847 | Daniel Chen | Student in an Organized Health Care Education/Training Program | 5901 East Seventh Street, Va Long Beach, Long Beach, CA 90822 | 2011-06-20 |
| 1891896015 | John 'nmi' Guidi | Social Worker | 5901 East Seventh Street, Long Beach, CA 90822-5201 | 2006-09-26 |
| 1003915661 | Ronald C Kim | Pathology | 5901 East Seventh Street, Dvamc (05/113np), Long Beach, CA 90822 | 2006-09-21 |
| 1205931524 | Michael James Dickel | Specialist | 5901 East Seventh Street, Long Beach, CA 90822 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730654401 | Nicholas Brown | Psychologist | 5901 E. 7th Street (06/116b), Long Beach, CA 90822 | 2018-10-09 |
| 1194231027 | Liliana Jimenez | Social Worker | 5901 E. 7th St, Social Work Services, Long Beach, CA 90822 | 2017-12-14 |
| 1144621640 | James Edward Yadavaia IIi | Psychologist | 5901 E. 7th St. (06/116b), Long Beach, CA 90822 | 2014-09-16 |
| 1841600186 | Helen Ma | Internal Medicine | 5901 East 7th St, Long Beach, CA 90822 | 2014-05-07 |
| 1316374101 | Linda Jane Robles | Counselor | Va Healthcare Long Beach, 5901 E 7th Street, Long Beach, CA 90822 | 2013-10-11 |
| 1457783862 | Gretchen Louise Sholty | Psychologist | 5901 E. 7th St (06/116b), Long Beach, CA 90822 | 2013-08-08 |
| 1306278924 | Christopher Stephen Gentry | Nurse Practitioner | 2700 Bellflower Blvd, #112, Long Beach, CA 90822 | 2013-08-06 |
| 1639422009 | Vanessa Zizak | Clinical Neuropsychologist | Va Long Beach Healthcare System, 5901 East 7th St. Mailbox 116b, Long Beach, CA 90822 | 2012-10-22 |
| 1609166487 | Heather M. Shumway | Family Medicine | 5901 East Seventh St., Va Long Beach, Long Beach, CA 90822 | 2011-04-13 |
| 1376833277 | Michael R Lowder | Dentist | 5901 East Seventh St, Va Long Beach, Long Beach, CA 90822 | 2011-04-12 |
| Find all providers in zip 90822 | ||||
| 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 | 90822 |
Please comment or provide details below to improve the information on CASSANDRA OCTOBER.
| 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.