GLEN BOUSCHER (NPI# 1548286008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548286008 |
| Entity Type | Individual |
| Full Name | GLEN BOUSCHER |
| Credential | MSW |
| Practice Address |
2090 River Ave Long Beach CA 90810-3621 |
| Mailing Address |
5901 E 7th St Long Beach CA 90822-5201 |
| Practice Telephone | 5628268474 |
| Mailing Telephone | 5628268474 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2007-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Street Address |
2090 RIVER AVE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90810-3621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477645406 | Patrick Nicholson | Counselor | 2090 River Ave, Long Beach, CA 90810-3621 | 2006-09-28 |
| 1205927852 | Randall Howard Young | Counselor | 2090 River Ave, Long Beach, CA 90810-3621 | 2006-09-27 |
| 1518058114 | Eduardo M Curameng | Technician, Other | 2090 River Ave, Long Beach, CA 90810-3621 | 2006-09-27 |
| 1538250006 | Ronald Brian Kuzin | Counselor | 2090 River Ave, Long Beach, CA 90810-3621 | 2006-09-27 |
| 1265523872 | Martha Lee Baird | Counselor | 2090 River Ave, Long Beach, CA 90810-3621 | 2006-09-27 |
| 1396845111 | Heather L Sanders | Registered Nurse | 2090 River Ave, Long Beach, CA 90810-3621 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013567262 | Arsenia Morante Ramos | Technician | 1928 W Lincoln Street, Long Beach, CA 90810 | 2019-09-18 |
| 1992263867 | Yesenia Llerenas | Counselor | Children's Institute Inc, 1500 Hughes Way #100, Long Beach, CA 90810 | 2019-03-08 |
| 1649746215 | Cassandra Whitney Dewey | Counselor | 2120 W. Williams Street, Long Beach, CA 90810 | 2018-10-22 |
| 1497204028 | Jose Carlos Garcia | Dental Assistant | 2636 E Dominguez St, Long Beach, CA 90810 | 2016-09-23 |
| 1255706560 | Sabrina Navarro | Rehabilitation Practitioner | 1501 Hughles Way, Suite 150, Long Beach, CA 90810 | 2015-12-11 |
| 1275917692 | The Childrens Clinic 'serving Children and Their Families' | Clinic/Center | 2000 San Gabriel Avenue, Long Beach, CA 90810 | 2015-07-15 |
| 1881932168 | Ronald Merton Sommer | Family Medicine | 1436 W. 23rd St., Westside Free Clinic, Long Beach, CA 90810 | 2013-01-22 |
| 1619241601 | Vander J. Dale Jr. | Counselor | 2090 River Avenue, Long Beach, CA 90810 | 2012-03-08 |
| 1205125606 | Maria Anna Castillo Tejada | Physical Therapist | 2679 N La Vere Dr, Long Beach, CA 90810 | 2011-04-06 |
| 1386973436 | Roosevelt Williams Jr. | Physical Therapy Assistant | 6444 East Spring St, # 247, Long Beach, CA 90810 | 2009-12-21 |
| Find all providers in zip 90810 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861018491 | Marisol Zobler | Social Worker | 820 Long Beach Bvld, Long Beach, CA 90813 | 2020-06-19 |
| 1104440163 | Jason Giang | Social Worker | 4510 E Pacific Coast Hwy Ste 590, Long Beach, CA 90804-6936 | 2020-06-04 |
| 1144843251 | John Michael Rodriguez | Social Worker | 1123 E 1st St Apt 2, Long Beach, CA 90802-5698 | 2020-05-22 |
| 1184103343 | Alexis Marie Bracken | Social Worker | 3939 Atlantic Ave Ste 213, Long Beach, CA 90807-3535 | 2018-08-08 |
| 1134619018 | Kelly Michelle Moore | Social Worker | 446 Pinecrest Cir, Long Beach, MS 39560-3639 | 2018-05-16 |
| 1225525967 | Ashley Rastello | Social Worker | 2-12 W Park Ave Ste 200, Long Beach, NY 11561-2020 | 2018-04-18 |
| 1942728589 | Marissa Liana Cabral | Social Worker | 5190 Atantic Ave, Long Beach, CA 90805 | 2017-09-04 |
| 1144747569 | Kimberly Savanannah Rodriguez | Social Worker | 2600 Redondo Ave., 6th Floor, Long Beach, CA 90806 | 2017-08-25 |
| 1326577594 | Danielle Anderson | Social Worker | 113 Beach Park Pl, Long Beach, MS 39560-6223 | 2017-06-09 |
| 1215461470 | Jennifer Carbajal | Social Worker | 25 W Broadway Apt 201, Long Beach, NY 11561-4026 | 2017-04-14 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90810 |
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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.