MS. SUSANNE STOLCKE (NPI# 1497933055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497933055 |
| Entity Type | Individual |
| Full Name | MS. SUSANNE STOLCKE |
| Credential | M.A., MFT |
| Practice Address |
2041 Bancroft Way Suite 310 Berkeley CA 94704-1405 |
| Practice Telephone | 5103754575 |
| Mailing Telephone | 5103754575 |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2013-07-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFC45227 | CA | Behavioral Health & Social Service Providers |
| Street Address |
2041 BANCROFT WAY SUITE 310 |
| City | BERKELEY |
| State | CA |
| Zip Code | 94704-1405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184662603 | Heather Mclaren Roselaren | Social Worker | 2041 Bancroft Way, #307, Berkeley, CA 94704-1405 | 2006-06-04 |
| 1376914911 | Nadine Tang | Social Worker | 2041 Bancroft Way, Suite 310, Berkeley, CA 94704-1405 | 2015-10-08 |
| 1396143939 | Rebecca Krow-boniske Kolta | Physical Therapist | 2041 Bancroft Way, Suite 301, Berkeley, CA 94704 | 2014-12-14 |
| 1821419987 | Felicia F Ferlin | Physical Therapist | 2041 Bancroft Way, Berkeley, CA 94704-1405 | 2013-12-16 |
| 1225323314 | Vanessa Caroline Morrison | Marriage & Family Therapist | 2041 Bancroft Way, Suite 307, Berkeley, CA 94704-1405 | 2011-06-16 |
| 1619167145 | Tom D Wooldridge Jr. | Psychologist | 2041 Bancroft Way, Suite 307, Berkeley, CA 94704-1405 | 2007-07-31 |
| 1639387400 | Diane Gerstler | Social Worker | 2041 Bancroft Way, Ste 307, Berkeley, CA 94704-1405 | 2007-05-17 |
| 1811101041 | Jennifer Wachter | Social Worker | 2041 Bancroft Way, Suite 307, Berkeley, CA 94704-1405 | 2007-05-09 |
| 1952528598 | Lawrence Steven Cohen | Psychiatry & Neurology | 2041 Bancroft Way, Suite 307-310, Berkeley, CA 94704-1405 | 2007-04-18 |
| 1083839153 | Monika Elizabeth Mann | Physical Therapist | 2041 Bancroft Way, Berkeley Physical Therapy, Berkeley, CA 94704 | 2007-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698887 | Ka Yin Emma Liu | Counselor | 1936 University Avenue, Partnerships for Trauma Recover, Suite 191, Berkeley, CA 94704 | 2020-10-29 |
| 1821617168 | Michelle Nagal Hunt | Behavior Technician | 2080 Addison Street, #302, Berkeley, CA 94704 | 2020-04-15 |
| 1366097081 | Sabrina Barnett | Behavior Technician | 2080 Addison St, #302, Berkeley, CA 94704 | 2019-08-08 |
| 1811559735 | Bonita House, Inc. | Community/Behavioral Health | 1909 University Ave, Berkeley, CA 94704 | 2019-07-01 |
| 1376014928 | Justin T Cooke | Specialist/Technologist | 2024 Durant Ave #508, Berkeley, CA 94704 | 2018-12-07 |
| 1972080158 | Cecilia Winfield | Student in an Organized Health Care Education/Training Program | 1918 University Ave., Suite 2b, Berkeley, CA 94704 | 2018-07-20 |
| 1952897332 | Jennifer Henry Henry | Naturopath | 2041 Bancroft Way #303, 2041 Bancroft Way, Berkeley, CA 94704 | 2018-07-09 |
| 1497267967 | Merlenet Michelle Riley | Counselor | 2640 Martin Luther King, Berkeley, CA 94704 | 2017-10-24 |
| 1265951719 | Caitlin Mary Mcdonough | Student in an Organized Health Care Education/Training Program | 1918 University Avenue, Suite 2b, Berkeley, CA 94704 | 2017-09-15 |
| 1922525120 | Patrice Werling | Counselor | 1918 University Avenue, Suite 2b, Berkeley, CA 94704 | 2017-08-28 |
| Find all providers in zip 94704 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407456320 | Debby Liang | Marriage & Family Therapist | 2140 Shattuck Ave Ste 804, Berkeley, CA 94704-1229 | 2020-10-29 |
| 1770100513 | Ferris Wahl | Marriage & Family Therapist | 1211 Ward St, Berkeley, CA 94702-2235 | 2020-06-27 |
| 1356962310 | Donald Ira Bender | Marriage & Family Therapist | 1164 Euclid Ave, Berkeley, CA 94708-1603 | 2020-04-30 |
| 1780213504 | Ryan Maria Peter Buchholz | Marriage & Family Therapist | 1611 San Pablo Ave, Berkeley, CA 94702-1375 | 2020-04-03 |
| 1396373544 | Daria Elizabeth Wrubel | Marriage & Family Therapist | 2576 Shattuck Ave Ste 2, Berkeley, CA 94704-2724 | 2020-03-31 |
| 1134755457 | Elizabeth Anike Dejong | Marriage & Family Therapist | 2880 Sacramento St Ste A, Berkeley, CA 94702-2533 | 2020-03-18 |
| 1447882956 | Diane Lomas Wyatt | Marriage & Family Therapist | 2340 Ward St. Ste 104, Berkeley, CA 94705 | 2020-02-12 |
| 1063982874 | Juliane C M Brown | Marriage & Family Therapist | 921 The Alameda Ste 227, Berkeley, CA 94707-2311 | 2018-12-05 |
| 1063919355 | Anna Nicole Lewis | Marriage & Family Therapist | 3120 Telegraph Ave Ste 7d, Berkeley, CA 94705-1965 | 2018-04-12 |
| 1497257349 | Devon D'avanzo | Marriage & Family Therapist | 1810 Hopkins St, Berkeley, CA 94707-2717 | 2018-03-07 |
| Find all providers in BERKELEY | ||||
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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.