BRIAN SEAN STILLER LICENSED CLINICAL SOCIAL WORKER INC


Address: 11622 El Camino Real Ste 100, San Diego, CA 92130-2051
Phone: 8582154044

BRIAN SEAN STILLER LICENSED CLINICAL SOCIAL WORKER INC (NPI# 1417577792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417577792
Entity Type Organization
Organization Name BRIAN SEAN STILLER LICENSED CLINICAL SOCIAL WORKER INC
Practice Address 11622 El Camino Real Ste 100
San Diego
CA 92130-2051
Mailing Address 1367 E Goshen Ave
Fresno
CA 93720-2648
Practice Telephone 8582154044
Mailing Telephone 9032461953
Enumeration Date 2020-04-16
Last Update Date 2020-04-16
Authorized Official Name BRIAN SEAN STILLER (OWNER)
Authorized Official Telephone 8582154044
Authorized Official Credential LCSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
Behavioral Health & Social Service Providers

Office Location

Street Address 11622 EL CAMINO REAL STE 100
City SAN DIEGO
State CA
Zip Code 92130-2051

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891886404 Paula Ann Lintin Counselor 11622 El Camino Real Ste 100, San Diego, CA 92130-2051 2006-09-27
1477164721 Php Ins Ca PC Internal Medicine 11622 El Camino Real Ste 100, San Diego, CA 92130-2051 2020-08-11
1598397077 Dawn Mitchell Social Worker 11622 El Camino Real Ste 100, San Diego, CA 92130-2051 2020-02-12
1063044634 Samantha Evans Marriage & Family Therapist 11622 El Camino Real Ste 100, San Diego, CA 92130-2051 2020-02-11
1114566437 Meredith Gleason Psychologist 11622 El Camino Real Ste 100, San Diego, CA 92130-2051 2020-01-03
1356997761 San Diego Divorce Counseling Center Clinic/Center 11622 El Camino Real Ste 100, San Diego, CA 92130-2051 2019-08-12
1245892652 Breathing Space Counseling Counselor 11622 El Camino Real Ste 100, San Diego, CA 92130-2051 2019-07-05
1649739061 Choice Acupuncture Clinic Acupuncturist 11622 El Camino Real Ste 100, San Diego, CA 92130-2051 2019-03-15
1558849810 Stacey Spencer Stoefen Social Worker 11622 El Camino Real Ste 100, San Diego, CA 92130-2051 2018-07-30
1295264505 Mary Jesko & Associates Case Management 11622 El Camino Real Ste 100, San Diego, CA 92130-2051 2017-06-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629692397 Tlc Family Therapy Marriage & Family Therapist 5965 Village Way. Suite 105 #112, San Diego, CA 92130 2020-05-29
1447746169 Jack Perlov Psychiatry & Neurology 3535 Caminito El Rincon, Unit 268, San Diego, CA 92130 2018-07-05
1326551003 Theotokos, LLC Pharmacy 5550 Carmel Mountain Rd Ste 111, San Diego, CA 92130 2017-11-16
1154879146 Halie Hommes Occupational Therapist 12250 El Camino Real Ste 250, San Diego, CA 92130 2016-09-19
1790232015 Coastal Skin and Eye Institute, Inc. Ophthalmology 5550 Carmel Mountain Road, Suite 206, San Diego, CA 92130 2016-09-02
1720534951 Nosti and Rygg Dental Corporation Dentist 5550 Carmel Mountain Road, Ste 200, San Diego, CA 92130 2016-08-28
1831644053 Marco Savittieri Dentist 3715 Ruette De Vl, San Diego, CA 92130 2016-08-17
1336508621 Discovery Practice Management, Inc Psychiatric Residential Treatment Facility 11455 Camino Real, Ste 360, San Diego, CA 92130 2016-02-16
1427434679 Coast Pediatrics Carmel Valley Pediatrics 5965 Village Drive, Suite 201, San Diego, CA 92130 2015-08-10
1659753762 T Sidal Dds Md Inc Dentist 12395 El Camino Real, Suite 304, Torrey Pines Oral & Maxillofacial Surgery, San Diego, CA 92130 2015-06-25
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154920536 Gillian Boyd Social Worker 3147 Eel Alley Building 271, Room 106, San Diego, CA 92136-0001 2020-10-18
1194338087 Courage Over Comfort Counseling Licensed Clinical Social Worker PC Social Worker 4283 El Cajon Blvd Ste 226, San Diego, CA 92105-1289 2020-08-28
1619580057 Joseph Stephen Mcconico Social Worker 5274 Mount Alifan Dr, San Diego, CA 92111-2621 2020-08-25
1821600529 David James Prince Social Worker 1498 13th Street Bldg 184, San Diego, CA 98132 2020-08-24
1407467392 Tyler Drew Willis Social Worker 4665 Voltaire St, San Diego, CA 92107-1762 2020-08-13
1174132575 Sarah Greenstein Social Worker 11860 Carmel Creek Rd, San Diego, CA 92130-2474 2020-07-31
1730798190 Joelle G Johnson Social Worker 4904 Mansfield St, San Diego, CA 92116-1936 2020-07-30
1881203503 Micheaela Whaley Social Worker 4417 30th St Ste 112, San Diego, CA 92116-4284 2020-07-28
1033737812 Clara Loginov Social Worker 6727 Mohawk St, San Diego, CA 92115-1642 2020-07-08
1780208553 Ai-nhat Ngo Social Worker 9360 Activity Rd Ste B, San Diego, CA 92126-4410 2020-06-07
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Competitor

Search similar providers

City SAN DIEGO
Zip Code 92130

Improve Information

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Dataset Information

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.

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