TRICIA DENISE WATTERS (NPI# 1356554307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356554307 |
| Entity Type | Individual |
| Full Name | TRICIA DENISE WATTERS |
| Credential | LCSW |
| Practice Address |
7171 Bowling Dr Suite 400 Sacramento CA 95823-2034 |
| Mailing Address |
9379 Ironstone Way Sacramento CA 95829-6108 |
| Practice Telephone | 9168756232 |
| Practice Fax Number | 9168755095 |
| Mailing Telephone | 1968756232 |
| Mailing Fax Number | 9168755095 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2007-12-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCS21763 | CA | Behavioral Health & Social Service Providers |
| Street Address |
7171 BOWLING DR SUITE 400 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95823-2034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376540088 | Mark W Lai | Dentist | 7171 Bowling Dr, Suite #1110, Sacramento, CA 95823-2034 | 2005-07-07 |
| 1871114462 | Victoria Marie Navarrete | Case Manager/Care Coordinator | 7171 Bowling Dr, Sacramento, CA 95823-2034 | 2020-05-05 |
| 1033761333 | Robert Michel | Technician, Health Information | 7171 Bowling Dr, Sacramento, CA 95823-2034 | 2019-07-16 |
| 1588222095 | Blanca Lilia Rodrigueztellez | Case Manager/Care Coordinator | 7171 Bowling Dr, Sacramento, CA 95823-2034 | 2019-05-30 |
| 1104315043 | Michelle Gonzalez | Technician, Health Information | 7171 Bowling Dr, Sacramento, CA 95823-2034 | 2018-05-07 |
| 1174070007 | Sharita Catlett | Counselor | 7171 Bowling Dr, Sacramento, CA 95823-2034 | 2016-09-08 |
| 1265803258 | Aubrey Griffin | Counselor | 7171 Bowling Dr, Sacramento, CA 95823-2034 | 2015-10-15 |
| 1568831790 | Marianflor Escartin Magadia | Licensed Vocational Nurse | 7171 Bowling Dr, Sacramento, CA 95823-2034 | 2015-09-17 |
| 1578803359 | Carol Ann Kelly | Counselor | 7171 Bowling Dr, 300, Sacramento, CA 95823-2034 | 2013-02-15 |
| 1295053528 | Jacqueline Honora Patterson | Registered Nurse | 7171 Bowling Dr, Sacramento, CA 95823-2034 | 2010-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343422 | Renee Yvonne Friesner | Registered Nurse | 6965 65th Street, Sacramento, CA 95823 | 2020-10-12 |
| 1790392165 | Amanda Moore | Technician | 6445 Village Center Dr, Building 7 Apt 101, Sacramento, CA 95823 | 2020-09-29 |
| 1114562766 | Daniel & Max, LLC | Optometrist | 4200 Florin Road, Suite C, Florin, CA 95823 | 2019-11-07 |
| 1396393823 | Lannon Hope Gustafson | Counselor | 8573 E Southgate Dr., Sacramento, CA 95823 | 2019-08-28 |
| 1932768280 | Sprenger Behavioral Medicine, Inc | Psychiatry & Neurology | 7601 Hospital Drive Suite 202, Suite 202, Sacramento, CA 95823 | 2019-06-11 |
| 1306316880 | Evin Johnson | Case Manager/Care Coordinator | 7000 Franklin Blvd Suite 625, Sacramento, CA 95823 | 2018-11-28 |
| 1902373095 | Alexandra L Bourcy | Family Medicine | 7275 E Southgate Dr Ste 204-206, Sacramento, CA 95823 | 2018-10-27 |
| 1891298923 | Nicholas Joseph Henderson | Behavior Technician | 6500 47th Street Apt#76, Sacramento, CA 95823 | 2018-03-15 |
| 1427567098 | Luz Maria Udave | Behavior Technician | 5435 Mack Rd Apt 87, Sacramento, CA 95823 | 2017-09-26 |
| 1417474743 | Elizabeth Smithers | Behavior Technician | 5545 Sky Parkway #202, Sacramento, CA 95823 | 2017-08-28 |
| Find all providers in zip 95823 | ||||
| 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 |
|---|---|---|---|---|
| 1053928606 | Nor Cal Trauma Healing Center | Social Worker | 6 Godello Ct, Sacramento, CA 95833-4400 | 2020-09-28 |
| 1023623980 | Heather Woodford | Social Worker | 3101 I St # 203, Sacramento, CA 95816-4421 | 2020-09-08 |
| 1629686670 | Kelvin Baker | Social Worker | 5511 C St, Sacramento, CA 95819-2329 | 2020-07-16 |
| 1033737192 | Kama Brockmann | Social Worker | 2565 14th St, Sacramento, CA 95818-2242 | 2020-07-06 |
| 1972120780 | Lavonne Ricks | Social Worker | 249 Delta Leaf Way, Sacramento, CA 95838-1869 | 2020-06-26 |
| 1366075111 | Michael Swauger | Social Worker | 3240 Arden Way Ste 105, Sacramento, CA 95825-2015 | 2020-02-20 |
| 1427697374 | Anthony Barnes | Social Worker | 2008 Morse Avenue, Commons Building, Sacramento, CA 95825 | 2019-12-24 |
| 1528604527 | Michael Avriette | Social Worker | 2830 27th St, Sacramento, CA 95818-3222 | 2019-11-25 |
| 1649826504 | Psynergy Programs, Inc. | Social Worker | 9951 Horn Rd Ste B, Sacramento, CA 95827-1955 | 2019-08-15 |
| 1669025219 | Elizabeth E. Wetzel | Social Worker | 1720 Capitol Ave Ste 201, Sacramento, CA 95811-5187 | 2019-07-23 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95823 |
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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.