MR. JACK WALTER LIGHT (NPI# 1326143132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326143132 |
| Entity Type | Individual |
| Full Name | MR. JACK WALTER LIGHT |
| Credential | L.C.S.W. |
| Practice Address |
20 Modesto Irvine CA 92602-0930 |
| Practice Telephone | 7144692745 |
| Practice Fax Number | 7147310176 |
| Mailing Telephone | 7144692745 |
| Mailing Fax Number | 7147310176 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2017-03-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW16241 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861401465 | Jack Light | Dentist | 13605 Baden Westwood Road, Brandywine, MD 20613 | 2006-08-05 |
| Street Address |
20 MODESTO |
| City | IRVINE |
| State | CA |
| Zip Code | 92602-0930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396237905 | Austin Light | Dietitian, Registered | 20 Modesto, Irvine, CA 92602-0930 | 2018-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093288839 | Smart Talk | Clinic/Center | 116 Confederation Way, Irvine, CA 92602 | 2019-01-04 |
| 1336691047 | Ronald Romasoc | Registered Nurse | 22 Willowdale, Irvine, CA 92602 | 2016-10-28 |
| 1407303951 | Genesis Biomed, Inc. | Durable Medical Equipment & Medical Supplies | 3493 Irvine Blvd, #241, Irvine, CA 92602 | 2016-09-01 |
| 1699164350 | Jungmi Yeo | Acupuncturist | 16 Granada, Irvine, CA 92602 | 2015-01-20 |
| 1023439155 | Sunny Shih | Acupuncturist | 3 Kernville, Irvine, CA 92602 | 2013-12-16 |
| 1427317213 | Global Talent Therapy | Home Health | 146 Saint James, Suite 205, Irvine, CA 92602 | 2012-05-14 |
| 1366723793 | Patel Physical Therapy | Physical Therapist | 813 Monte Vista, Irvine, CA 92602 | 2011-08-30 |
| 1134419443 | Anthony Ritchie Chuang | Pediatrics | 635 Monte Vis, Irvine, CA 92602 | 2011-04-08 |
| 1528239571 | Fakirmohmed Mahmed Gosla | Physical Medicine & Rehabilitation | 15 Vacaville, Irvine, CA 92602 | 2008-03-18 |
| 1407071806 | Wei Chen Alex Tu | Dentist | 21 Willowhurst, Irvine, CA 92602 | 2007-04-13 |
| Find all providers in zip 92602 | ||||
| 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 |
|---|---|---|---|---|
| 1275131401 | Lumitot | Social Worker | 198 Capricorn, Irvine, CA 92618-1186 | 2020-10-09 |
| 1346856697 | Nikki Barrett | Social Worker | 2515 Mccabe Way Ste 200, Irvine, CA 92614-9402 | 2020-09-22 |
| 1083231211 | Emily Mayot | Social Worker | 19772 Macarthur Blvd Ste 260, Irvine, CA 92612-2412 | 2020-07-03 |
| 1326662586 | Anna Maria Isabelle Muyuela Capati | Social Worker | 59 Sanctuary, Irvine, CA 92620 | 2020-06-03 |
| 1528620796 | Amy Safer Tierney | Social Worker | 36 Wetstone, Irvine, CA 92604-3664 | 2019-07-08 |
| 1164989786 | Sara Schoenhorn | Social Worker | 7 Rockwren, Irvine, CA 92604-3325 | 2019-03-01 |
| 1124582747 | Meredith Gordon Resnick | Social Worker | 8 Whitewater, Irvine, CA 92603-3431 | 2019-01-28 |
| 1407301328 | Eun Kim | Social Worker | 229 Shelbourne, Irvine, CA 92620-2176 | 2016-08-20 |
| 1588017628 | George Joseph Baltz | Social Worker | 8 Sonata St, Irvine, CA 92618-7022 | 2016-07-13 |
| 1326442708 | Deloris Vivian Matthews | Social Worker | 7303 Pintado, Irvine, CA 92618-0231 | 2014-10-14 |
| Find all providers in IRVINE | ||||
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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.