ANNA VAISMAN ENNIS


Address: 4930 Naples St, 1st Floor, San Diego, CA 92110-3820
Phone: 6192761176

ANNA VAISMAN ENNIS (NPI# 1538360169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538360169
Entity Type Individual
Full Name ANNA VAISMAN ENNIS
Credential LCSW
Practice Address 4930 Naples St
1st Floor
San Diego
CA 92110-3820
Practice Telephone 6192761176
Practice Fax Number 6192761553
Mailing Telephone 6192761176
Mailing Fax Number 6192761553
Enumeration Date 2007-05-30
Last Update Date 2016-06-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
71559 CA Behavioral Health & Social Service Providers

Office Location

Street Address 4930 NAPLES ST
1ST FLOOR
City SAN DIEGO
State CA
Zip Code 92110-3820

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437758786 Madison Underhill Case Manager/Care Coordinator 4930 Naples St, San Diego, CA 92110-3820 2020-10-19
1942807581 Jeanette Delos Reyes Rosete-okamoto Licensed Vocational Nurse 4930 Naples St, San Diego, CA 92110-3820 2020-10-07
1679185664 Gabriella Melissa Ledezma Case Manager/Care Coordinator 4930 Naples St, San Diego, CA 92110-3820 2020-08-20
1790394542 Athena Mariana Tan Cipriano Student in an Organized Health Care Education/Training Program 4930 Naples St, San Diego, CA 92110-3820 2020-07-28
1326663253 Katya Alexandra Davila Case Manager/Care Coordinator 4930 Naples St, San Diego, CA 92110-3820 2020-06-16
1508486689 Brandon Harris Peer Specialist 4930 Naples St, San Diego, CA 92110-3820 2020-04-20
1669091401 Nathalia C Hernandez Case Manager/Care Coordinator 4930 Naples St, San Diego, CA 92110-3820 2020-04-12
1134748957 Kelly Garcia Case Manager/Care Coordinator 4930 Naples St, San Diego, CA 92110-3820 2020-04-11
1396373080 Damaris Lugo Michel Case Manager/Care Coordinator 4930 Naples St, San Diego, CA 92110-3820 2020-03-30
1013541689 Jessica Katelyn Hasselbar Case Manager/Care Coordinator 4930 Naples St, San Diego, CA 92110-3820 2020-02-23
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669021713 Ruben Daniel Gutierrez Marriage & Family Therapist 4141 Pacific Coast Hwy, San Diego, CA 92110 2019-09-10
1548724081 Denise Ellen Thompson Counselor 3255 Wings Street, San Diego, CA 92110 2019-01-29
1801378716 Michelle Lisa Jean Crawford Student in an Organized Health Care Education/Training Program 3767 Central Avenue, San Diego, CA 92110 2018-09-06
1427539048 Allison Turrell Case Manager/Care Coordinator 4930 Naples Street, San Diego, CA 92110 2018-08-22
1750872768 Matthew Langworthy Physical Therapist 3405 Kenyon St Ste 212, San Diego, CA 92110 2018-05-24
1245748342 The One Health Boutique, LLC Chiropractor 5350 Riley St, San Diego, CA 92110 2018-01-11
1437670155 Monique A Fernandez Counselor 3132 Jefferson Street, San Diego, CA 92110 2017-07-03
1538510391 Mayu Winters Registered Nurse 853 Rosecrans St, San Diego, CA 92110 2016-06-23
1376998864 Briniti Ichull Specialist 3941 Kurtz St, San Diego, CA 92110 2016-05-03
1912352576 Healthcare Services, Inc. Substance Abuse Rehabilitation Facility 3880 Rosecrans Street, San Diego, CA 92110 2016-05-02
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154920536 Gillian Boyd Social Worker 3147 Eel Alley Building 271, Room 106, San Diego, CA 92136-0001 2020-10-18
1194338087 Courage Over Comfort Counseling Licensed Clinical Social Worker PC Social Worker 4283 El Cajon Blvd Ste 226, San Diego, CA 92105-1289 2020-08-28
1619580057 Joseph Stephen Mcconico Social Worker 5274 Mount Alifan Dr, San Diego, CA 92111-2621 2020-08-25
1821600529 David James Prince Social Worker 1498 13th Street Bldg 184, San Diego, CA 98132 2020-08-24
1407467392 Tyler Drew Willis Social Worker 4665 Voltaire St, San Diego, CA 92107-1762 2020-08-13
1174132575 Sarah Greenstein Social Worker 11860 Carmel Creek Rd, San Diego, CA 92130-2474 2020-07-31
1730798190 Joelle G Johnson Social Worker 4904 Mansfield St, San Diego, CA 92116-1936 2020-07-30
1881203503 Micheaela Whaley Social Worker 4417 30th St Ste 112, San Diego, CA 92116-4284 2020-07-28
1033737812 Clara Loginov Social Worker 6727 Mohawk St, San Diego, CA 92115-1642 2020-07-08
1780208553 Ai-nhat Ngo Social Worker 9360 Activity Rd Ste B, San Diego, CA 92126-4410 2020-06-07
Find all providers in SAN DIEGO

Competitor

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City SAN DIEGO
Zip Code 92110

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Dataset Information

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.

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