JACKELIN CHAVEZ RUEDA (NPI# 1376962308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376962308 |
| Entity Type | Individual |
| Full Name | JACKELIN CHAVEZ RUEDA |
| Practice Address |
18826 N Lower Sacramento Rd Ste C Woodbridge CA 95258-9290 |
| Mailing Address |
Po Box 6779 Stockton CA 95206-0779 |
| Practice Telephone | 2093682532 |
| Practice Fax Number | 2096250492 |
| Mailing Telephone | 2093682532 |
| Mailing Fax Number | 2096250492 |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2019-10-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
18826 N LOWER SACRAMENTO RD STE C |
| City | WOODBRIDGE |
| State | CA |
| Zip Code | 95258-9290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558548214 | Freya Marie Schwinn | Marriage & Family Therapist | 18826 N Lower Sacramento Rd Ste C, Woodbridge, CA 95258-9290 | 2008-01-24 |
| 1487131595 | Riverside Therapy Group | Clinic/Center | 18826 N Lower Sacramento Rd Ste C, Woodbridge, CA 95258 | 2018-07-20 |
| 1003325143 | Cynthia Michelle Telander | Psychologist | 18826 N Lower Sacramento Rd Ste C, Woodbridge, CA 95258-9290 | 2017-09-20 |
| 1093144198 | Mariann Arney | Marriage & Family Therapist | 18826 N Lower Sacramento Rd Ste C, Woodbridge, CA 95258-9290 | 2013-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649238163 | John F Kiraly IIi | Specialist | 19509 Benedict Dr, Woodbridge, CA 95258-9050 | 2006-05-03 |
| 1902072473 | Gabriel Care Home Inc | Intermediate Care Facility, Mentally Retarded | 528 Indiana St, Woodbridge, CA 95258-9100 | 2008-05-05 |
| 1770990319 | Lane Holiday Gehres | Speech-Language Pathologist | 732 Cypress Run, Woodbridge, CA 95258-9184 | 2014-07-15 |
| 1710037494 | E Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 18835 N Lower Sacramento Rd, Woodbridge, CA 95258-9284 | 2007-01-12 |
| 1376658393 | Sydney Marcia Shore | Marriage & Family Therapist | 18826 N Lower Sacramento Rd, Suite C, Woodbridge, CA 95258-9290 | 2006-08-20 |
| 1184891996 | Gregg Allen Lewis | Psychologist | 18826 N Lower Sacramento Rd, Suite C, Woodbridge, CA 95258-9290 | 2008-05-12 |
| 1740467828 | Holly Newman | Specialist | 311 River Meadows Dr, Woodbridge, CA 95258-9310 | 2008-01-30 |
| 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 |
|---|---|---|---|---|
| 1518568518 | Ruth Ilboudo | Social Worker | 15732 John Diskin Cir, Woodbridge, VA 22191-6550 | 2020-11-05 |
| 1801409123 | Angel Bartlett | Social Worker | 2357 Brookmoor Ln, Woodbridge, VA 22191-4083 | 2020-08-26 |
| 1306308234 | Emily Manza | Social Worker | 16012 Indus Dr, Woodbridge, VA 22191-4336 | 2019-04-01 |
| 1053885707 | Shatiera Monique Amankrah | Social Worker | 3733 Hetten Ln, Woodbridge, VA 22193-1048 | 2019-01-16 |
| 1922576099 | Paula Dorman | Social Worker | 4001 Prince William Pkwy Ste 300, Woodbridge, VA 22192-7667 | 2018-11-07 |
| 1417444910 | Mallory Grimste LLC | Social Worker | 30 Hazel Ter Ste 12, Woodbridge, CT 06525-2240 | 2018-04-19 |
| 1003315391 | Sage Community Counseling LLC | Social Worker | 2239b Tacketts Mill Dr, Woodbridge, VA 22192-3026 | 2018-02-02 |
| 1568902765 | Tabitha Mann | Social Worker | 12191 Cardamom Dr, Woodbridge, VA 22192-1448 | 2017-03-07 |
| 1184169765 | Mahogany Lacour | Social Worker | 4197 Windflower Ct, Woodbridge, VA 22193-5100 | 2017-01-05 |
| 1932655354 | Kayla Marie Lucas | Social Worker | 1 Bradley Rd Ste 404405, Woodbridge, CT 06525-2285 | 2016-08-26 |
| Find all providers in WOODBRIDGE | ||||
| City | WOODBRIDGE |
| Zip Code | 95258 |
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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.