LEITU KULUKULUTEA TAKAPU (NPI# 1578994968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578994968 |
| Entity Type | Individual |
| Full Name | LEITU KULUKULUTEA TAKAPU |
| Practice Address |
1510 Fashion Island Blvd Ste 310 San Mateo CA 94404-1587 |
| Practice Telephone | 4153179744 |
| Mailing Telephone | 4153179744 |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2020-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
97218 | CA | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | CA | Student, Health Care | |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
1510 FASHION ISLAND BLVD STE 310 |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94404-1587 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093920647 | Edgewood Center for Children and Families | Community/Behavioral Health | 1510 Fashion Island Blvd Ste 310, San Mateo, CA 94404-1587 | 2007-05-14 |
| 1508466582 | Yareli Coronel | Community Health Worker | 1510 Fashion Island Blvd Ste 310, San Mateo, CA 94404-1587 | 2020-10-28 |
| 1295357374 | Desirae Sotto | Community Health Worker | 1510 Fashion Island Blvd Ste 310, San Mateo, CA 94404-1587 | 2020-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497235709 | Kathleen Clare Tamm | Marriage & Family Therapist | 716 Coronado Lane, Foster City, CA 94404 | 2018-08-16 |
| 1699126128 | Pooja Dhir | Chiropractor | 951 Edgewater Boulevard, Suite B, Foster City, CA 94404 | 2016-06-27 |
| 1043670441 | Charlene Hsiaoching Chang | Nurse Practitioner | 987 E Hillsdale Blvd # 9879, Foster City, CA 94404 | 2016-02-26 |
| 1346605938 | Roderick Cooper | Specialist | 1108 S. El Camino Real, San Mateo, CA 94404 | 2015-12-23 |
| 1538594452 | Marie-josee Landry | Dentist | 581, Foster City Blvd, Foster City, CA 94404 | 2013-09-10 |
| 1184963852 | Jerome Nillo | Physical Therapist | 1049 Foster City Blvd., Apt C, Foster City, CA 94404 | 2013-01-31 |
| 1710230826 | Ascend Genomics, LLC | Pathology | 320 Hatch Dr, Foster City, CA 94404 | 2012-10-26 |
| 1962753533 | Qiong Chen | Acupuncturist | 885 Balboa Ln, Foster City, CA 94404 | 2012-09-24 |
| 1518226968 | Elham Attari | Physical Therapist | 808 Cortez Ln, Foster City, CA 94404 | 2012-05-04 |
| 1437451861 | Thalia Maryam Farshchian | Naturopath | 1098 Foster City Blvd Suite 305, Foster City, CA 94404 | 2010-11-17 |
| Find all providers in zip 94404 | ||||
| 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 |
|---|---|---|---|---|
| 1568071850 | Jilla Lavian | Social Worker | 1240 Lakeview Drive, San Mateo, CA 94010 | 2020-07-23 |
| 1982122503 | Madeline Pielert | Social Worker | 1670 S. Amphlett Blvd. 115, San Mateo, CA 94402 | 2017-09-04 |
| 1639527666 | Mayra Cervantes Cruz | Social Worker | 1510 Fashion Island Blvd Ste 310m, San Mateo, CA 94404-1587 | 2016-05-31 |
| 1588034037 | Jackie Wong | Social Worker | 4108 Alameda De Las Pulgas, San Mateo, CA 94403-5053 | 2015-09-27 |
| 1881001188 | Dui Chen | Social Worker | 1700 S Amphlett Blvd Ste 250i, San Mateo, CA 94402-2728 | 2014-07-18 |
| 1124439989 | Ellen Elizabeth Crane | Social Worker | 1333 Royal Ave, San Mateo, CA 94401-3518 | 2014-05-15 |
| 1215234497 | Leah Ann Christensen | Social Worker | 54 Poinsettia Ave, San Mateo, CA 94403-2842 | 2011-02-23 |
| 1033428792 | Eri Tsujii | Social Worker | 1950 Alameda De Las Pulgas # 157, San Mateo, CA 94403-1222 | 2010-09-29 |
| 1265661607 | Zoe Bass | Social Worker | 31 Tower Rd, San Mateo, CA 94402-4000 | 2009-07-07 |
| 1003052168 | Robert Livingstone | Social Worker | 205 E 3rd Ave Ste 307, San Mateo, CA 94401-4052 | 2008-12-19 |
| Find all providers in SAN MATEO | ||||
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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.