DESEREA B REVILLE (NPI# 1467635847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467635847 |
| Entity Type | Individual |
| Full Name | DESEREA B REVILLE |
| Credential | BSW |
| Practice Address |
2330 Glendale Ln Suite # 100 Sacramento CA 95825-2455 |
| Practice Telephone | 5307530220 |
| Enumeration Date | 2007-12-09 |
| Last Update Date | 2007-12-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Street Address |
2330 GLENDALE LN SUITE # 100 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95825-2455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356353593 | Carrie L Michaels | Marriage & Family Therapist | 2330 Glendale Ln, Ste 100, Sacramento, CA 95825-2454 | 2006-08-13 |
| 1356674113 | Cynthia Jean Hurn | Counselor | 2330 Glendale Ln, Ste 100, Sacramento, CA 95825-2455 | 2009-09-11 |
| 1205063377 | Stephanie Ann Lyons | Case Manager/Care Coordinator | 2330 Glendale Ln, Suite 100, Sacramento, CA 95825-2455 | 2009-06-16 |
| 1346438223 | Nicholas Lee Mcwilliams Mcgee | Counselor | 2330 Glendale Ln, Sacramento, CA 95825-2455 | 2007-10-04 |
| 1730305475 | Junko Kumagai | Counselor | 2330 Glendale Ln, Sacramento, CA 95825-2454 | 2007-04-18 |
| 1528181138 | Paul Pacholski | Case Manager/Care Coordinator | 2330 Glendale Ln, Sacramento, CA 95825-2454 | 2007-04-09 |
| 1033239132 | Kerri Page | Counselor | 2330 Glendale Ln, Ste 100, Sacramento, CA 95825-2454 | 2007-03-30 |
| 1073630018 | Marco Zolow | Counselor | 2330 Glendale Ln, Sacramento, CA 95825-2454 | 2007-03-23 |
| 1821122094 | Ka'misha K White | Counselor | 2330 Glendale Ln, Sacramento, CA 95825-2454 | 2007-03-16 |
| 1104958925 | Bonnie L. Roberson | Counselor | 2330 Glendale Ln, Ste 100, Sacramento, CA 95825-2454 | 2007-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667854 | Sarah Claudio | Case Manager/Care Coordinator | 650 Howe Ave # 400-b, Sacramento, CA 95825 | 2020-10-19 |
| 1962009308 | Andrea Isabel Morales | Behavior Technician | 333 University Avenue, Suite 200, Sacramento, CA 95825 | 2020-10-08 |
| 1942810510 | Melissa Marlene Lowndes | Occupational Therapist | 1337 Howe Ave Unit 107, Sacramento, CA 95825 | 2020-08-07 |
| 1780294827 | Travis Elliott Peppers | Case Manager/Care Coordinator | 650 Howe Ave Suite 400-b, 650 Howe Ave Suite 400-b, Sacramento, CA 95825 | 2020-08-04 |
| 1154950327 | Hallie Wenz | Behavior Technician | 333 University Ave Suite #200, Sacramento, CA 95825 | 2020-04-08 |
| 1679105456 | Dr. Page Hudson Dental Corporation | Dentist | 1580 Howe Avenue, Suite A, Sacramento, CA 95825 | 2020-02-10 |
| 1710517891 | Amelia Garnica | Community/Behavioral Health | 720 Howe Avenue, Suite 102, Sacamento, CA 95825 | 2020-01-17 |
| 1427697374 | Anthony Barnes | Social Worker | 2008 Morse Avenue, Commons Building, Sacramento, CA 95825 | 2019-12-24 |
| 1528604519 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave., Suite 102, Cacramento, CA 95825 | 2019-11-25 |
| 1164068144 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave. Suite, 102, Sacramento, CA 95825 | 2019-11-25 |
| Find all providers in zip 95825 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023590262 | Jeanette Marie Salinas | Social Worker | 3336 Bradshaw Rd Ste 340, Sacramento, CA 95827-2600 | 2018-09-04 |
| 1114446333 | Erin K Johansen | Social Worker | 650 Howe Ave Bldg 400a, Sacramento, CA 95825-4731 | 2017-09-19 |
| 1821515677 | Angela Nicole Horper | Social Worker | 8825 Bridalsmith Dr, Sacramento, CA 95828-5572 | 2017-08-23 |
| 1013430537 | Daniela Lupe | Social Worker | 2800 Amerian Ave, Sacramento, CA 95833 | 2017-07-18 |
| 1164943049 | Vanessa Selene Tinajero | Social Worker | 3615 Macorni Ave, Sacramento, CA 95821 | 2017-06-30 |
| 1083152169 | Irene Enriquez Ramos | Social Worker | 3627 Broadland Street, Sacramento, CA 95834 | 2017-02-08 |
| 1215479217 | Arch Family Services | Social Worker | 6000 Lemon Hill Ave, Sacramento, CA 95824-3264 | 2016-11-08 |
| 1568814804 | Melissa Gallagher | Social Worker | 8004 La Riviera Dr Apt 30, Sacramento, CA 95826-1681 | 2016-07-11 |
| 1568813368 | Chelsea Leigh Castillo | Social Worker | 1250 Sutterville Rd, Sacramento, CA 95822-1101 | 2016-06-23 |
| 1144678525 | Jasmine Ivette Villalta De Alba | Social Worker | 2750 Sutterville Rd # Cottage2, Sacramento, CA 95820-1093 | 2016-05-26 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95825 |
Please comment or provide details below to improve the information on DESEREA B REVILLE.
| 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.