CHANNING CREDEUR (NPI# 1538578364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538578364 |
| Entity Type | Individual |
| Full Name | CHANNING CREDEUR |
| Practice Address |
161 W Victoria St Long Beach CA 90805-2175 |
| Practice Telephone | 3232425000 |
| Mailing Telephone | 3232425000 |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2018-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3584 Martin Luther King Jr Blvd, Lynwood, CA 902622050 | 3232425000 |
| Street Address |
161 W VICTORIA ST |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90805-2175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053403899 | Kay Roberson | Marriage & Family Therapist | 161 W Victoria St, Long Beach, CA 90805-2175 | 2006-09-29 |
| 1780299198 | Arlene Jean Baptiste | Rehabilitation Practitioner | 161 W Victoria St, Long Beach, CA 90805-2175 | 2020-09-11 |
| 1265059588 | Daisy Rivas | Case Manager/Care Coordinator | 161 W Victoria St, Long Beach, CA 90805-2175 | 2020-07-02 |
| 1255955985 | Jade Harris | Counselor | 161 W Victoria St, Long Beach, CA 90805-2175 | 2020-05-28 |
| 1417589102 | Sandra Hernandez | Case Manager/Care Coordinator | 161 W Victoria St, Long Beach, CA 90805-2175 | 2020-02-10 |
| 1629611454 | Genessa Martin | Student in an Organized Health Care Education/Training Program | 161 W Victoria St, Long Beach, CA 90805-2175 | 2019-10-24 |
| 1407406325 | Brigitte Fong | Student in an Organized Health Care Education/Training Program | 161 W Victoria St, Long Beach, CA 90805-2175 | 2019-09-12 |
| 1164071007 | Brenda Mendez | Counselor | 161 W Victoria St, Long Beach, CA 90805-2175 | 2019-09-04 |
| 1245889062 | Cindy Colon | Counselor | 161 W Victoria St, Long Beach, CA 90805-2175 | 2019-09-04 |
| 1225686595 | Daushae Preciado | Counselor | 161 W Victoria St, Long Beach, CA 90805-2175 | 2019-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073154928 | Makando Mutanda | Counselor | 161 West Victoria St., Long Beach, CA 90805 | 2019-10-02 |
| 1326609496 | Alliance Hospitalist Medical Corporation | Internal Medicine | 3300 E South St Ste 307, Lakewood, CA 90805 | 2019-06-27 |
| 1609345925 | Belmont Rx LLC | Pharmacy | 6583 Atlantic Ave., 1st Floor Ste 109, Long Beach, CA 90805 | 2018-11-15 |
| 1508359605 | Mykayla Rowley | Case Manager/Care Coordinator | 5190 Atlatic Ave, Long Beach, CA 90805 | 2018-06-13 |
| 1942728589 | Marissa Liana Cabral | Social Worker | 5190 Atantic Ave, Long Beach, CA 90805 | 2017-09-04 |
| 1245757673 | Karina Vasquez | Licensed Vocational Nurse | 1325 E Poppy St, Long Beach, CA 90805 | 2017-08-25 |
| 1376060277 | Rebekkah Dawn Williams | Counselor | 100 East Market Street, Long Beach, CA 90805 | 2017-08-23 |
| 1871038919 | Andrea Dabbs | Pharmacist | 3700 E. South St., Lakewood, CA 90805 | 2016-12-28 |
| 1164972360 | Young Men's Christian Association of Greater Long Beach | Health Educator | 4949 Atlantic Ave, Long Beach, CA 90805 | 2016-10-12 |
| 1043662158 | Kristina Eunjeong Chang | Podiatrist | 3700 E South Street, Lakewood, CA 90805 | 2016-07-13 |
| Find all providers in zip 90805 | ||||
| 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 |
|---|---|---|---|---|
| 1427657519 | Alana B. Williams | Social Worker | 527 Mockingbird Dr, Long Beach, MS 39560-3118 | 2020-10-20 |
| 1760080709 | Adriana Michelle Ocampo | Social Worker | 4500 E Pacific Coast Hwy Ste 320, Long Beach, CA 90804-3271 | 2020-10-12 |
| 1356956387 | Jessica Margarita Jimenez | Social Worker | 2206 San Anseline Ave Apt 7, Long Beach, CA 90815-2133 | 2020-09-15 |
| 1700494218 | Sonja Roberts Lcsw Psychotherapy Pllc | Social Worker | 120 W Park Ave Ste 215a, Long Beach, NY 11561-3301 | 2020-07-21 |
| 1144838178 | Vanessa L Pezo | Social Worker | 3722 1/2 E Esther St, Long Beach, CA 90804-2007 | 2020-07-15 |
| 1912524182 | Shaylin Malia Madrid | Social Worker | 769 Termino Ave # A, Long Beach, CA 90804-5329 | 2020-07-02 |
| 1053940098 | Daniel Green | Social Worker | 100 Oceangate Ste 610, Long Beach, CA 90802-4365 | 2020-04-02 |
| 1598221376 | Cindy Srivijittrakarn | Social Worker | 5901 E 7th St Bldg 133, Long Beach, CA 90822-5201 | 2019-02-16 |
| 1174090849 | Beth Eiser Sterling | Social Worker | 3131 Julian Ave, Long Beach, CA 90808-4436 | 2018-10-31 |
| 1376027938 | Abigail Joy Dominguez | Social Worker | 2725 Hackett Ave, Long Beach, CA 90815 | 2018-09-19 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90805 |
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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.