CARRIE BEVACQUA (NPI# 1508291295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508291295 |
| Entity Type | Individual |
| Full Name | CARRIE BEVACQUA |
| Credential | M.S.W. |
| Practice Address |
1525 Plumas Ct Suite C Yuba City CA 95991-2971 |
| Mailing Address |
1420 Inglewood Ct Yuba City CA 95993-2318 |
| Practice Telephone | 5307519964 |
| Mailing Telephone | 5307519964 |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2013-09-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CA | Behavioral Health & Social Service Providers |
| Street Address |
1525 PLUMAS CT SUITE C |
| City | YUBA CITY |
| State | CA |
| Zip Code | 95991-2971 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366405730 | Total Renal Care Inc | Clinic/Center | 1525 Plumas Ct, Ste A, Yuba City, CA 95991-2971 | 2006-04-07 |
| 1215441274 | Amanda V Hernandez | Counselor | 1525 Plumas Ct, Yuba City, CA 95991-2971 | 2017-11-28 |
| 1689188641 | Ethel G Nelson | Counselor | 1525 Plumas Ct, Yuba City, CA 95991-2971 | 2017-11-28 |
| 1407360464 | Jill M Sullivan | Marriage & Family Therapist | 1525 Plumas Ct, Yuba City, CA 95991-2971 | 2017-11-28 |
| 1619480969 | Taylor Rae Labosky | Counselor | 1525 Plumas Ct, Yuba City, CA 95991-2971 | 2017-11-08 |
| 1336651108 | Michael Kevin Rudd | Counselor | 1525 Plumas Ct, Yuba City, CA 95991-2971 | 2017-11-01 |
| 1336651306 | Cristina Lopez | Counselor | 1525 Plumas Ct, Yuba City, CA 95991-2971 | 2017-10-31 |
| 1821462946 | Jessica Riley | Registered Nurse | 1525 Plumas Ct, Yuba City, CA 95991-2971 | 2015-12-01 |
| 1942613096 | Adam Ortner | Counselor | 1525 Plumas Ct, #c, Yuba City, CA 95991-2971 | 2014-06-06 |
| 1124452214 | Connie Drago | Registered Nurse | 1525 Plumas Ct, Suite C, Yuba City, CA 95991-2971 | 2013-08-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326670290 | Dr. Page Hudson Dental Corporation | Dentist | 871 Gray Avenue, Suite B, Yuba City, CA 95991 | 2020-02-10 |
| 1457990756 | Amar Sohail, Dds, Inc | Dentist | 718 W. Onstott Frontage Road, Yuba City, CA 95991 | 2020-01-03 |
| 1295370203 | An M Vo | Physical Therapist | 825 Jones Road, Yuba City, CA 95991 | 2019-11-13 |
| 1720551021 | Brittany L Adams | Behavior Technician | 471 Century Dr., Ste.b, Yuba City, CA 95991 | 2019-01-09 |
| 1124538681 | Youth for Change | Clinic/Center | 1525 Plumas Court, Suites C & D, Yuba City, CA 95991 | 2017-10-10 |
| 1760902076 | Licia Dering | Behavior Technician | 1425 Tradewind Drive, Yuba City, CA 95991 | 2017-06-27 |
| 1306371059 | Hafiz Feezer Kassam | Orthopaedic Surgery | 470 Plumas Blvd Ste 201, Yuba City, CA 95991 | 2017-05-01 |
| 1912444357 | Daniel & Max, LLC | Optometrist | 444 Colusa Ave., Suite A, Yuba City, CA 95991 | 2017-01-24 |
| 1790041556 | Deanna Marie Pollock | Anesthesiology | 460 Plumas Blvd Ste 202, Yuba City, CA 95991 | 2012-04-05 |
| 1053689406 | Michael Tzung-hsun Yang | Pharmacist | 2555 Aurora Drive, Yuba City, CA 95991 | 2011-12-13 |
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| 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 |
|---|---|---|---|---|
| 1255794467 | Kendra Davis | Social Worker | 740 Sherwood Dr, Yuba City, CA 95991-6231 | 2016-04-04 |
| 1982079216 | Jenna Schoeppe | Social Worker | 1525 Plumas Ct Ste C&d, Yuba City, CA 95991-2971 | 2015-12-11 |
| 1831336130 | Robin Kathleen Noall | Social Worker | 1445 Butte House Rd Ste J, Yuba City, CA 95993-2749 | 2009-01-08 |
| 1760648265 | Lisa M Metcalf | Social Worker | 1521 Starr Dr, Suite B, Yuba City, CA 95993-2656 | 2008-08-04 |
| 1518166115 | Dolores Herrera | Social Worker | 3233 Granite Dr, Yuba City, CA 95993-8840 | 2007-07-13 |
| 1386779833 | Emerita Banuelos Rodriguez | Social Worker | 1799 Esplanade Way, 1965 Live Oak Blvd., Yuba City, CA 95993-1011 | 2007-02-23 |
| 1043352156 | Mary P Chin | Social Worker | 1650 Sierra Ave, Suite 106, Yuba City, CA 95993-8986 | 2007-02-13 |
| 1275616559 | Susan B Jones | Social Worker | 1445 Butte House Road, Suite J, Yuba City, CA 95993 | 2006-10-23 |
| 1518902196 | Mona Marie Mcnelis-broadley | Social Worker | 1110 Civic Center Blvd, Suite 202b, Yuba City, CA 95993-3013 | 2006-06-18 |
| 1699232694 | Quenette Freeman | Social Worker | 1525 Plumas Ct Ste C&d, Yuba City, CA 95991-2971 | 2019-02-26 |
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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.