THERAVILLE COUNSELING SERVICES, A LICENSED CLINICAL SOCIAL WORKER CORP (NPI# 1366084360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366084360 |
| Entity Type | Organization |
| Organization Name | THERAVILLE COUNSELING SERVICES, A LICENSED CLINICAL SOCIAL WORKER CORP |
| Other Organization Name | THERAVILLE COUNSELING SERVICES, A LICENSED CLINICAL SOCIAL WORKER CORP |
| Practice Address |
155 W Hospitality Ln Ste 245 San Bernardino CA 92408 |
| Mailing Address |
Po Box 559 Beaumont CA 92223-0559 |
| Practice Telephone | 9513869709 |
| Practice Fax Number | 9516026508 |
| Mailing Telephone | 9513869709 |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2019-11-21 |
| Authorized Official Name | CRYSTAL BURNS (OWNER/CLINICIAN) |
| Authorized Official Telephone | 9513869709 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Theraville Counseling Services, A Licensed Clinical Social Worker Corp | Former Legal Business Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 155 W Hospitality Ln Ste 245, San Bernardino, CA 92408 | 9513869709 | 9516026508 |
| Street Address |
155 W HOSPITALITY LN STE 245 |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346872207 | Kimberly Nathaly Anaya | Social Worker | 155 W Hospitality Ln Ste 245, San Bernardino, CA 92408-3318 | 2020-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073124681 | Valeria Armentilla Cecena | Student in an Organized Health Care Education/Training Program | 1950 Sunwest Ln., San Bernardino, CA 92408 | 2020-08-17 |
| 1588272066 | Horizon Therapy Services | Physical Therapist | 418 East Vanderbilt, San Bernardino, CA 92408 | 2020-07-21 |
| 1821627639 | Bl Anderson Medical Corporation | Emergency Medicine | 473 E Carnegie Dr., Ste 200, San Bernardino, CA 92408 | 2020-04-03 |
| 1922648104 | Infinite Hope Hospice Corp | Hospice Care, Community Based | 225 W Hospitality Ln Suite 305, San Bernardino, CA 92408 | 2020-01-15 |
| 1689210775 | Inland Empire Community Outreach Center | Counselor | 473 East Carnegie Drive, Suite 200, San Bernardino, CA 92408 | 2019-11-23 |
| 1992347801 | Care Marriage and Family Therapists, Inc. | Marriage & Family Therapist | 1881 Commercenter Drive E, Suite 232, San Bernardino, CA 92408 | 2019-10-11 |
| 1548730419 | Adriana Alcaraz | Behavior Technician | 473 E Carnegie, Ste 200, San Bernardino, CA 92408 | 2018-12-04 |
| 1811467889 | Xavier J Molina-williams | Behavior Technician | 476 E Carnegie Drive, Ste 200, San Bernardino, CA 92408 | 2018-12-03 |
| 1780153148 | Gillian Washington | Behavior Technician | 473 E Carnegie Dr, Ste 200, Riverside, CA 92408 | 2018-11-15 |
| 1083196166 | Lobban Marriage and Family Therapy Inc | Marriage & Family Therapist | 473 E. Carnegie Drive, Suite 200, San Bernardino, CA 92408 | 2018-09-05 |
| Find all providers in zip 92408 | ||||
| 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 |
|---|---|---|---|---|
| 1255942389 | Ifeanyi C Alozie | Social Worker | 255 N D St Ste 401c, San Bernardino, CA 92401-1715 | 2020-08-12 |
| 1619526209 | Louise E Curran | Social Worker | 6395 N Azalea Ave, San Bernardino, CA 92407 | 2019-09-06 |
| 1528616034 | Patricia Esmeralda Moreno | Social Worker | 621 Carnegie Dr Ste 140, San Bernardino, CA 92408-3515 | 2019-08-28 |
| 1326518168 | Katherine Clair Tristan Lcsw PC | Social Worker | 255 N D St Ste 220, San Bernardino, CA 92401-1713 | 2018-12-04 |
| 1508368044 | Everett Andy James | Social Worker | 1845 Business Center Drive Suite 208, San Bernardino, CA 92408 | 2018-03-01 |
| 1588173496 | Christina Dillon | Social Worker | 412 W Hospitality Ln Fl 1, San Bernardino, CA 92415-0913 | 2017-09-22 |
| 1255754263 | Jules E Beuck | Social Worker | 3288 Little Mountain Dr Apt A, San Bernardino, CA 92405-0912 | 2014-01-27 |
| 1629405345 | Terrence John Forrester | Social Worker | 1455 E. 3rd St, San Bernardino, CA 92410 | 2013-09-27 |
| 1104170364 | Eric William Ewell | Social Worker | 6724 Coleen Ln, San Bernardino, CA 92407-1916 | 2012-11-08 |
| 1255683090 | Denise Makaroff | Social Worker | 900 E. Gilbert Street Cottage #4, San Bernardino, CA 92415 | 2012-10-03 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92408 |
Please comment or provide details below to improve the information on THERAVILLE COUNSELING SERVICES, A LICENSED CLINICAL SOCIAL WORKER CORP.
| 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.