STEPHEN MOLLICA FORKINS (NPI# 1346301769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346301769 |
| Entity Type | Individual |
| Full Name | STEPHEN MOLLICA FORKINS |
| Credential | LCSW |
| Practice Address |
2213 Buchanan Rd Suite 203 Antioch CA 94509 |
| Mailing Address |
2213 Buchanan Rd Suite 203 Antioch CA 94509-4265 |
| Practice Telephone | 9257795810 |
| Mailing Telephone | 9257795810 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCS 19102 | CA | Behavioral Health & Social Service Providers |
| Street Address |
2213 BUCHANAN RD SUITE 203 |
| City | ANTIOCH |
| State | CA |
| Zip Code | 94509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700882784 | Shelby J. Smith | Dentist | 2213 Buchanan Rd, Ste 112, Antioch, CA 94509-4265 | 2005-06-23 |
| 1942750849 | Brighter Beginnings | Clinic/Center | 2213 Buchanan Rd, Ste 103, Antioch, CA 94509-4265 | 2016-10-04 |
| 1922371004 | Megan Michelle Tyler | Nurse Practitioner | 2213 Buchanan Rd, Suite 103, Antioch, CA 94509-4265 | 2012-02-20 |
| 1689728081 | Kristina Rahbek Ludwigsen | Psychologist | 2213 Buchanan Rd, Suite 203, Antioch, CA 94509-4265 | 2007-01-22 |
| 1346392578 | Kyle P. Owen | Psychiatry & Neurology | 2213 Buchanan Rd, Suite 203, Antioch, CA 94509-4265 | 2007-01-17 |
| 1124170295 | Deborah Kaplan | Psychologist | 2213 Buchanan Rd, 203, Antioch, CA 94509-4265 | 2007-01-17 |
| 1679622864 | Karen Ann Case | Social Worker | 2213 Buchanan Rd, Suite 203, Antioch, CA 94509-4265 | 2007-01-09 |
| 1992862668 | Lori S Gant | Social Worker | 2213 Buchanan Rd, Suite 203, Antioch, CA 94509-4265 | 2007-01-02 |
| 1427115302 | Theresa Margaret Schuman | Psychologist | 2213 Buchanan Rd, Suite 203, Antioch, CA 94509-4265 | 2007-01-02 |
| 1568527240 | Kavitha Rao | Psychiatry & Neurology | 2213 Buchanan Rd, Kaiser Department of Mental Health Suite 203, Antioch, CA 94509 | 2006-12-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733243 | A Step Above, LLC | Clinic/Center | 3648 Delta Fair Blvd., Antioch, CA 94509 | 2020-02-25 |
| 1134751167 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 3600 Delta Fair Blvd, Antioch, CA 94509 | 2020-02-07 |
| 1962040865 | Melay Goitom | Behavioral Analyst | 3104 Delta Fair Boulevard, Antioch, CA 94509 | 2019-12-11 |
| 1518525062 | James Joseph Cook | Counselor | 624 W. 14th Street B, Antioch, CA 94509 | 2019-05-30 |
| 1922576438 | Wazma Matiee | Behavioral Analyst | 2009 Asilomar Dr., Antioch, CA 94509 | 2018-11-02 |
| 1346722360 | Dharma Rachelle Yancy | Behavioral Analyst | 3401 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
| 1912489931 | Cristian Cruz | Behavioral Analyst | 3100-3104 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
| 1780174052 | Melissa Sue Rossi | Counselor | 3701 Lone Tree Way Ste 7a, Antioch, CA 94509 | 2018-05-13 |
| 1033638085 | Elizabeth Marie Artola | Counselor | 1915 D Street, Antioch, CA 94509 | 2017-09-11 |
| 1144748690 | Andrea Michelle Newberry | Counselor | 55 E.18th St, Antioch, CA 94509 | 2017-09-05 |
| Find all providers in zip 94509 | ||||
| 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 |
|---|---|---|---|---|
| 1861090086 | Elda | Social Worker | 2334 Buchanan Rd Ste 2356, Antioch, CA 94509-4411 | 2020-10-09 |
| 1588278170 | Esmeralda Alcala Okendo | Social Worker | 4413 Palisades Way, Antioch, CA 94531-8228 | 2020-09-01 |
| 1821612102 | Nicholas Piccard | Social Worker | 1198 Bayshore Dr, Antioch, IL 60002-1468 | 2020-06-03 |
| 1114346582 | Malikea Walker | Social Worker | 2609 Forty Niner Way, Antioch, CA 94531-8001 | 2014-04-14 |
| 1518214378 | Maxine Perrier-morris | Social Worker | 4545 Delta Fair Blvd, Antioch, CA 94509-3950 | 2012-08-12 |
| 1912252016 | Anna Midgett Snyder | Social Worker | 2311 Hobson Pike, Antioch, TN 37013-1110 | 2012-07-16 |
| 1194016139 | Dolores Lynal Williams | Social Worker | 5179 Lone Tree Way, Suite 509, Antioch, CA 94531-8689 | 2011-04-26 |
| 1700110657 | Queen Adu-poku | Social Worker | 2810 Lone Tree Way Ste 9, Antioch, CA 94509-4956 | 2009-09-24 |
| 1437348331 | Carrie Lee Frazier | Social Worker | 301 W. 10th Street, Suite #24, Antioch, CA 94509 | 2007-10-17 |
| 1194847269 | Veronica Leigh Baines | Social Worker | 3432 Hillcrest Ave Ste 175, Antioch, CA 94531-6343 | 2007-04-06 |
| Find all providers in ANTIOCH | ||||
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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.