SAMANTHA LAKE (NPI# 1427595065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427595065 |
| Entity Type | Individual |
| Full Name | SAMANTHA LAKE |
| Practice Address |
3924 Riverview Dr Jurupa Valley CA 92509-6611 |
| Practice Telephone | 9513604175 |
| Mailing Telephone | 9513604175 |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2020-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7226 Sepulveda Blvd, Van Nuys, CA 914052003 | 8182351414 | 8189450827 |
| Street Address |
3924 RIVERVIEW DR |
| City | JURUPA VALLEY |
| State | CA |
| Zip Code | 92509-6611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699088716 | Crystal Yvette Garcia Ruacho | Social Worker | 3924 Riverview Dr, Jurupa Valley, CA 92509-6611 | 2010-07-18 |
| 1083232920 | Audriana Nicole Santana | Social Worker | 3924 Riverview Dr, Jurupa Valley, CA 92509-6611 | 2020-07-08 |
| 1154948909 | Melissa Andrea Barraza | Counselor | 3924 Riverview Dr, Jurupa Valley, CA 92509-6611 | 2020-06-27 |
| 1104447390 | Jennifer Briseno | Social Worker | 3924 Riverview Dr, Jurupa Valley, CA 92509-6611 | 2020-04-29 |
| 1275153959 | Jose Eduardo Campos | Case Manager/Care Coordinator | 3924 Riverview Dr, Jurupa Valley, CA 92509-6611 | 2020-04-22 |
| 1679119952 | Miguel Zuniga Lopez | Community Health Worker | 3924 Riverview Dr, Jurupa Valley, CA 92509-6611 | 2019-11-21 |
| 1861037954 | Jurupa Unified School District | Social Worker | 3924 Riverview Dr, Jurupa Valley, CA 92509-6611 | 2019-11-12 |
| 1821590605 | Alma Family Services | Community/Behavioral Health | 3924 Riverview Dr, Jurupa Valley, CA 92509-6611 | 2018-03-07 |
| 1336692912 | Natalie Aliana Valdepena | Social Worker | 3924 Riverview Dr, Jurupa Valley, CA 92509-6611 | 2016-07-29 |
| 1780053132 | Lizet Rios | Counselor | 3924 Riverview Dr, Jurupa Valley, CA 92509-6611 | 2015-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720530744 | Leesette De Santiago | Dental Assistant | 6130 Camino Real #12, Riverside, CA 92509 | 2016-10-25 |
| 1043646383 | Andy R Moreno | Counselor | 7790 Big Rock Dr., Riverside, CA 92509 | 2013-09-18 |
| 1275845018 | Myra Agnes Harrison | Pharmacist | 8015 Limonete, Rite Aid, Riverside, CA 92509 | 2010-07-09 |
| 1740424415 | Lin Chew Ota | Obstetrics & Gynecology | 6250 Clay Street, Riverside, CA 92509 | 2009-04-27 |
| 1164660106 | Ramona Jean Carver | Marriage & Family Therapist | 5790 Magnolia Ave., Ste 202, Riverside, CA 92509 | 2009-01-29 |
| 1568627925 | Lisa Anne Razo | Marriage & Family Therapist | 6580 45th St, Riverside, CA 92509 | 2008-07-25 |
| 1215106810 | Xia L. Liu Professional Dentl Corp | Dentist | 8880 Limonite Ave, Pedley, CA 92509 | 2008-02-27 |
| 1467658385 | Riverside County Rubidoux Pharmacy | Pharmacy | 5256 Mission Ave, Rubidoux, CA 92509 | 2007-06-26 |
| 1366644429 | Cynthia Stover | Physician Assistant | 5256 Mission Boulevard, Riverside, CA 92509 | 2007-06-01 |
| 1942327499 | Sober Living By The Sea, Inc | Substance Abuse Rehabilitation Facility | 6690 Limonite Frontage Rd, Riverside, CA 92509 | 2007-03-22 |
| Find all providers in zip 92509 | ||||
| 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 |
|---|---|---|---|---|
| 1699088716 | Crystal Yvette Garcia Ruacho | Social Worker | 3924 Riverview Dr, Jurupa Valley, CA 92509-6611 | 2010-07-18 |
| 1407465123 | Regina Williams | Social Worker | 4850 Pedley Rd, Jurupa Valley, CA 92509-3966 | 2020-07-28 |
| 1861037954 | Jurupa Unified School District | Social Worker | 3924 Riverview Dr, Jurupa Valley, CA 92509-6611 | 2019-11-12 |
| 1336692912 | Natalie Aliana Valdepena | Social Worker | 3924 Riverview Dr, Jurupa Valley, CA 92509-6611 | 2016-07-29 |
| 1881028710 | Yvette Castanon | Social Worker | 3924 Riverview Dr, Jurupa Valley, CA 92509-6611 | 2013-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295244 | Keith Aaron Rivera | Social Worker | 605 Sundahl Dr, Folsom, CA 95630-6353 | 2020-11-03 |
| 1043811482 | Ofelia Stephanie Gonzalez | Social Worker | 252 San Jose St. Upstairs Suite, Salinas, CA 93901 | 2020-11-03 |
| 1780284356 | Tyler Young | Social Worker | 73140 Guadalupe Ave, Palm Desert, CA 92260-2858 | 2020-10-31 |
| 1588264220 | Danielle Segal | Social Worker | 10085 Nicolas Dr Unit B, Truckee, CA 96161-1871 | 2020-10-30 |
| 1598365389 | Camila Alaasam | Social Worker | 2145 Myrtle Ave # 3323, Eureka, CA 95501-3323 | 2020-10-29 |
| 1720688906 | Jennifer L Salcido | Social Worker | 2292 Celeste Ave, Clovis, CA 93611-6253 | 2020-10-28 |
| 1730788217 | Tara Christine Stafford | Social Worker | 30 Carlyle Ct, Danville, CA 94506-6147 | 2020-10-26 |
| 1730788282 | Fatima Billoo | Social Worker | 18928 Lassen St, Northridge, CA 91324-1835 | 2020-10-25 |
| 1306445903 | Enerje Wellness Licenced Clinical Social Worker | Social Worker | 7121 Magnolia Ave Ste O, Riverside, CA 92504-3805 | 2020-10-23 |
| 1972102671 | Kimberly Sherman | Social Worker | 1110 Ranleigh Way, Piedmont, CA 94610-1135 | 2020-10-22 |
| Find all providers with the same taxonomy | ||||
| City | JURUPA VALLEY |
| Zip Code | 92509 |
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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.