MISS CAROLINA LYNN STORMENT (NPI# 1376042606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376042606 |
Entity Type | Individual |
Full Name | MISS CAROLINA LYNN STORMENT |
Credential | RATD |
Practice Address |
1405 11th St Modesto CA 95354-0748 |
Mailing Address |
1030 California Ave # Ca Modesto CA 95351-2102 |
Practice Telephone | 2092840970 |
Practice Fax Number | 2092840971 |
Mailing Telephone | 2095507352 |
Mailing Fax Number | 2095217001 |
Enumeration Date | 2018-02-01 |
Last Update Date | 2018-02-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
R1240900117 | CA | Behavioral Health & Social Service Providers |
Street Address |
1405 11TH ST |
City | MODESTO |
State | CA |
Zip Code | 95354-0748 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801409768 | Alyssa Denae England | Counselor | 1405 11th St, Modesto, CA 95354-0748 | 2020-08-28 |
1245849314 | Annamarie Rae Pedroza | Counselor | 1405 11th St, Modesto, CA 95354-0748 | 2020-07-24 |
1871102947 | Michelle D. Cleary | Counselor | 1405 11th St, Modesto, CA 95354-0748 | 2020-07-24 |
1154963916 | Laci Prather | Counselor | 1405 11th St, Modesto, CA 95354-0748 | 2019-10-14 |
1912548033 | Elizabeth Denise Nelson | Counselor | 1405 11th St, Modesto, CA 95354-0748 | 2019-09-30 |
1417432790 | Taylor Kersey Paladichuk | Counselor | 1405 11th St, Modesto, CA 95354-0748 | 2018-10-02 |
1912482258 | Susana Couto Ramos | Counselor | 1405 11th St, Modesto, CA 95354-0748 | 2018-10-02 |
1841775186 | Nancy Lynette Nelson | Counselor | 1405 11th St, Modesto, CA 95354-0748 | 2018-10-02 |
1780173427 | Angela Terese Berkowitz | Counselor | 1405 11th St, Modesto, CA 95354-0748 | 2018-05-08 |
1659870368 | Felicia Ann Caraveo | Counselor | 1405 11th St, Modesto, CA 95354-0748 | 2018-02-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669987301 | Tristan Renee Bowman | Student in an Organized Health Care Education/Training Program | 1700 Mchenry Way, Modesto, CA 95354 | 2017-12-04 |
1134647944 | Melissa Kathleen Huizar | Occupational Therapist | 730 17th Street, Modesto, CA 95354 | 2017-08-31 |
1861948424 | Daniel Jones | Specialist/Technologist | 224 Eula Drive, Modesto, CA 95354 | 2016-09-01 |
1710333976 | Elite First Health | Clinic/Center | 3121 Yosemite Blvd Ste D2, Modesto, CA 95354 | 2016-05-06 |
1790169084 | Ronika Rodriguez | Licensed Vocational Nurse | 328 Thrasher Ave, Modesto, CA 95354 | 2015-07-16 |
1942688528 | Progressive Home Health and Hospice Care, LLC | Home Infusion | 1619 H Street, Modesto, CA 95354 | 2015-05-14 |
1225434277 | Ashley Ann Brown | Case Manager/Care Coordinator | 1000 Needham, Modesto, CA 95354 | 2014-11-18 |
1922380518 | Thao Truong | Specialist | 1321 I St Ste #3, Modesto, CA 95354 | 2011-09-09 |
1437441938 | Amy Marie Lipomi | Counselor | 613 13th Street, Suite B, Modesto, CA 95354 | 2011-05-03 |
1871800813 | Patricia Ashley Dalman | Social Worker | 1321 I Street Suite 3, Modesto, CA 95354 | 2010-09-13 |
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Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063055812 | Diana Harrison | Counselor | 1235 Mchenry Ave # A&b, Modesto, CA 95350-5370 | 2019-10-24 |
1710468095 | Dominic Maurice Casaca | Counselor | 616 Perfidia Ave, Modesto, CA 95351-4135 | 2018-08-24 |
1659867513 | Amalia Tapia | Counselor | 1235 Mchenry Ave Unit A&b, Modesto, CA 95350-5370 | 2018-07-03 |
1265934301 | Ben Hopp | Counselor | 123 Mchenry Ave, Modesto, CA 95354-0541 | 2018-03-05 |
1447772488 | Selenee Marie Flores | Counselor | 1235 Mchenry Ave # Ab, Modesto, CA 95350-5370 | 2017-07-12 |
1801325477 | Holly Elizabeth Moore | Counselor | 2000 W Briggsmore Ave Ste 1, Modesto, CA 95350-3839 | 2017-06-07 |
1942737507 | Gloria Edith Robles | Counselor | 3125 Mchenry Ave Ste D, Modesto, CA 95350-1451 | 2017-05-15 |
1184088668 | Michelle Lucas | Counselor | 1421 Mosswood Ln, Modesto, CA 95355-1555 | 2016-04-11 |
1407229248 | Roy Douglas | Counselor | 1235 Mcherney, A and B, Modesto, CA 95350-9411 | 2015-11-02 |
1639541394 | Dynese Lee Addotta | Counselor | 1520 Goldenwood Dr, Modesto, CA 95350-3865 | 2015-10-21 |
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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.