MR. ANDREW MARCUS DELGADO (NPI# 1518368331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518368331 |
| Entity Type | Individual |
| Full Name | MR. ANDREW MARCUS DELGADO |
| Credential | LCSW |
| Practice Address |
3750 Rohnerville Road Fortuna CA 95540 |
| Mailing Address |
Po Box 1045 Arcata CA 95518-1045 |
| Practice Telephone | 7077256101 |
| Practice Fax Number | 7077252978 |
| Mailing Telephone | 7075729440 |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2020-01-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | L6320 | OR | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW87293 | CA | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
L6320 | OR | Behavioral Health & Social Service Providers |
| Street Address |
3750 ROHNERVILLE ROAD |
| City | FORTUNA |
| State | CA |
| Zip Code | 95540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942422688 | Stephanie S Dittmer | Family Medicine | 3750 Rohnerville Road, Fortuna, CA 95540 | 2007-05-03 |
| 1841854395 | Patricia Dillon | Registered Nurse | 3750 Rohnerville Road, Fortuna, CA 95540 | 2019-04-30 |
| 1649735671 | Colleen Sanders Alford | Registered Nurse | 3750 Rohnerville Road, Fortuna, CA 95540 | 2019-02-04 |
| 1427520550 | Danielle Leighann Cole | Nurse Practitioner | 3750 Rohnerville Road, Fortuna, CA 95540 | 2018-12-31 |
| 1538630876 | Natasha L. Zabinski | Registered Nurse | 3750 Rohnerville Road, Fortuna, CA 95540 | 2018-12-16 |
| 1669909354 | James Marc Younan | Dentist | 3750 Rohnerville Road, Fortuna, CA 95540 | 2017-05-12 |
| 1003343708 | Arlene Teana Zakia Moore Younan | Dentist | 3750 Rohnerville Road, Fortuna, CA 95540 | 2017-05-12 |
| 1639533573 | Agata Anna Chalfin | Nurse Practitioner | 3750 Rohnerville Road, Fortuna, CA 95540 | 2016-04-06 |
| 1306252051 | Open Door Community Health Centers | Obstetrics & Gynecology | 3750 Rohnerville Road, Fortuna, CA 95540 | 2014-07-02 |
| 1407261001 | Jacqueline Proudfoot | Family Medicine | 3750 Rohnerville Road, Fortuna, CA 95540 | 2014-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234787 | Remi Vista, Inc. | Community/Behavioral Health | 3000 Newburg, Fortuna, CA 95540 | 2020-01-21 |
| 1144867474 | Paula-marie Schneider | Registered Nurse | 3750 Rohnerville Rd., Fortuna, CA 95540 | 2019-12-05 |
| 1609265537 | Nancy Stinson Lollich | Physical Therapy Assistant | 2321 Newburg Road, Fortuna Rehabilitation and Wellness, Fortuna, CA 95540 | 2015-01-15 |
| 1730438151 | Heber House Inc. Dba Dermatology Center | Dermatology | 2404 Newburg Rd., Fortuna, CA 95540 | 2012-08-30 |
| 1104173418 | Michelle Leigh Hoopes | Physician Assistant | 3304 Renner Dr Suite B, Fortuna, CA 95540 | 2012-08-07 |
| 1205181526 | Constance Mitchell | Registered Nurse | Redwood Pediatrics, 3305 Renner Dr, Fortuna, CA 95540 | 2012-07-24 |
| 1730457177 | Joy Nadine Frasier | Counselor | 220 Wilson Ln., Fortuna, CA 95540 | 2011-12-13 |
| 1063791713 | Gardenside Eldercare, LLC | Residential Treatment Facility, Physical Disabilities | 529 9th Street, Fortuna, CA 95540 | 2011-08-12 |
| 1093025173 | Sheri A Jewett | Massage Therapist | 2655 Virginia Court, Fortuna, CA 95540 | 2010-10-07 |
| 1134371339 | Mariana Van Der Merwe | Pharmacist | 725 South Boulevard, Rite Aid Pharmacy, Fortuna, CA 95540 | 2008-10-21 |
| Find all providers in zip 95540 | ||||
| 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 |
|---|---|---|---|---|
| 1013478023 | Jessica Freedman | Social Worker | 1100 Main St Ste B, Fortuna, CA 95540-2148 | 2019-03-31 |
| 1487010567 | Noreen Edwards | Social Worker | 1100 Main St Ste C, Fortuna, CA 95540-2148 | 2016-01-06 |
| 1437684685 | Noreen Edwards Expressive Arts, Licensed Clinical Social Worker | Social Worker | 1100 Main St, Suite B, Fortuna, CA 95540-2150 | 2017-04-25 |
| 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 |
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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.