DEIRDRE DOUGLAS (NPI# 1588037493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588037493 |
| Entity Type | Individual |
| Full Name | DEIRDRE DOUGLAS |
| Practice Address |
2640 Industry Way Suite B Lynwood CA 90262-4284 |
| Mailing Address |
2640 Industry Way Suite B Lynwood CA 90262 |
| Practice Telephone | 3106274525 |
| Practice Fax Number | 3106274531 |
| Mailing Telephone | 3106274525 |
| Mailing Fax Number | 3106274531 |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2015-11-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041S0200X |
Social Worker Specialization: School |
Behavioral Health & Social Service Providers |
| Street Address |
2640 INDUSTRY WAY SUITE B |
| City | LYNWOOD |
| State | CA |
| Zip Code | 90262-4284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831173970 | Russell F. Lim | Psychiatry & Neurology | 2640 Industry Way, Lynwood, CA 90262-4284 | 2005-12-02 |
| 1467053603 | Jaquenette Miller | Case Manager/Care Coordinator | 2640 Industry Way, Lynwood, CA 90262-4284 | 2020-11-04 |
| 1720685233 | Russell Smith | Case Manager/Care Coordinator | 2640 Industry Way, Lynwood, CA 90262-4284 | 2020-10-07 |
| 1629675343 | Destiny Williams-panell | Case Manager/Care Coordinator | 2640 Industry Way, Lynwood, CA 90262-4284 | 2020-10-06 |
| 1104438589 | Elizabeth Navarro | Case Manager/Care Coordinator | 2640 Industry Way, Lynwood, CA 90262-4284 | 2020-08-18 |
| 1265056162 | Debbie Diane Smith | Case Manager/Care Coordinator | 2640 Industry Way, Lynwood, CA 90262-4284 | 2020-06-05 |
| 1538782354 | Jason Douglas Delacuz | Licensed Vocational Nurse | 2640 Industry Way, Lynwood, CA 90262-4284 | 2020-05-27 |
| 1700418548 | Lidia Minerva Haefele | Counselor | 2640 Industry Way, Lynwood, CA 90262-4284 | 2020-02-10 |
| 1396377495 | Adam Castillo | Counselor | 2640 Industry Way, Lynwood, CA 90262-4284 | 2020-02-06 |
| 1073145355 | Aaron Sanderlin | Case Manager/Care Coordinator | 2640 Industry Way, Lynwood, CA 90262-4284 | 2020-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811546062 | Sheila Maxine Wilkins | Technician | 3940 Palm Ave, Lynwood, CA 90262 | 2019-09-10 |
| 1891344669 | Chezoma Latissue Davis | Technician | 4255 Niland St, Lynwood, CA 90262 | 2019-09-05 |
| 1295223345 | Scla Comprehensive Surgical Medical Group, Inc. | Clinic/Center | 3628 E Imperial Hwy Ste 204, Lynwood, CA 90262 | 2018-04-24 |
| 1891213807 | Grecia Veronica Nunez | Case Manager/Care Coordinator | 3680 E. Imperial Highway, Suite 200, Lynwood, CA 90262 | 2017-08-30 |
| 1134643448 | Angelica Jazmin Alonso Cortes | Case Manager/Care Coordinator | 2610 Industry Way Suite A, Lynwood, CA 90262 | 2017-07-28 |
| 1134594997 | Corinne Palma | Counselor | 11705 S. Alameda St., Lynwood, CA 90262 | 2015-12-04 |
| 1891175550 | Nancy Bremmer | Counselor | 10705 S. Alameda Street, Los Angels, CA 90262 | 2015-06-08 |
| 1588041347 | Jennifer Montoya | Case Management | 5433 E. Pelleur St., Lynwood, CA 90262 | 2015-04-30 |
| 1124440060 | Susana Gyek Goy | Chiropractor | 11123 Long Beach Blvd. Suite 5, Lynwood Health Center, Lynwood, CA 90262 | 2014-01-13 |
| 1215368956 | Baart Community Healthcare | Clinic/Center | 11315 S. Atlantic Blvd., Lynwood, CA 90262 | 2013-12-05 |
| Find all providers in zip 90262 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598363467 | Danielle Bower | Social Worker | 746 Grand Ave, Oakland, CA 94610-2714 | 2020-10-13 |
| 1013521566 | Simon Desmarais-zalob | Social Worker | 2460 Clay Bank Rd Bldg 8, Fairfield, CA 94533-1655 | 2020-09-02 |
| 1669086245 | Mozell Brown | Social Worker | 1150 S Olive St Ste 1150s, Los Angeles, CA 90015-2211 | 2020-09-01 |
| 1780297846 | Karla Stehl | Social Worker | 6996 Mission St, Daly City, CA 94014-2035 | 2020-08-28 |
| 1841803012 | Caterina Poehner | Social Worker | 617 Bayonet Cirle, Marina, CA 93933 | 2020-08-28 |
| 1043823370 | Melissa Sue Ambrose | Social Worker | 699 Serramonte Blvd Ste 100, Daly City, CA 94015-4132 | 2020-08-26 |
| 1982215067 | Monique Gomes | Social Worker | 412 Azores Cir, Bay Point, CA 94565-3031 | 2020-08-12 |
| 1790308906 | Sara Brenner | Social Worker | 29835 Mira Loma Dr, Temecula, CA 92592-2206 | 2020-05-21 |
| 1891318465 | Christian O'brian Munoz | Social Worker | 341 Haven Dr, Arvin, CA 93203-1918 | 2020-05-18 |
| 1356963078 | Roman Richard Tabayoyon | Social Worker | 9781 Mckenna Dr, Elk Grove, CA 95757-4027 | 2020-05-15 |
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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.