LICENSED CLINICAL SOCIAL WORKER COMMUNITY ALLIANCE PC (NPI# 1588264113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588264113 |
| Entity Type | Organization |
| Organization Name | LICENSED CLINICAL SOCIAL WORKER COMMUNITY ALLIANCE PC |
| Practice Address |
301 S 23rd St Richmond CA 94804-2807 |
| Mailing Address |
Po Box 3277 San Leandro CA 94578-0277 |
| Practice Telephone | 5108337632 |
| Mailing Telephone | 9165219447 |
| Enumeration Date | 2020-11-01 |
| Last Update Date | 2020-11-01 |
| Authorized Official Name | GARY MITCHELL SNIDER (CEO) |
| Authorized Official Telephone | 9165219447 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
301 S 23RD ST |
| City | RICHMOND |
| State | CA |
| Zip Code | 94804-2807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396385654 | Jennifer Phan | Behavior Technician | 865 Marina Bay Pkwy Ste 37 & 38, Richmond, CA 94804 | 2020-01-14 |
| 1033769104 | Marc Anthony Garcia | Behavioral Analyst | 865 Marina Bay Parkway, Suite 37 & 38, Richmond, CA 94804 | 2019-09-19 |
| 1447818216 | Bay Area Community Services | Community/Behavioral Health | 3215/3221 Nevin Avenue, Richmond, CA 94804 | 2019-06-05 |
| 1558832709 | Eliseo Matthew Beltran Ong | Behavior Technician | 865 Marina Bay Parkway Building C, Suite 37 & 38, Richmond, CA 94804 | 2018-12-16 |
| 1679064943 | Katherine Bacher | Counselor | 200 24th Str., Richmond, CA 94804 | 2018-05-22 |
| 1508353160 | Aveida Home Care LLC | In Home Supportive Care | 302 S 18th Street, Richmond, CA 94804 | 2018-04-19 |
| 1427577980 | Adam Hudson | Counselor | 3215 Nevin Avenue, Richmond, CA 94804 | 2017-09-15 |
| 1205176583 | Anna Fisher | Counselor | 32 Shoreline Ct, Richmond, CA 94804 | 2013-02-22 |
| 1366744328 | Che Hoskins | Counselor | 820 23rd St., Richmond, CA 94804 | 2010-11-24 |
| 1558671297 | Angela May Gaiser | Case Manager/Care Coordinator | 2500 Bissell Avenue, Richmond, CA 94804 | 2010-10-15 |
| Find all providers in zip 94804 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275140626 | Savoy Wellness Center LLC | Community/Behavioral Health | 1209 N 32nd St, Richmond, VA 23223-6711 | 2020-09-29 |
| 1669085684 | Positive Behavioral Health Consultation Services LLC | Community/Behavioral Health | 1702 Fenton St, Richmond, VA 23231-1602 | 2020-08-28 |
| 1790301166 | Innovative Behavioral Health Solutions LLC | Community/Behavioral Health | 3809 Austin Ave, Richmond, VA 23222-2405 | 2020-06-22 |
| 1306461546 | Golden Royaleagle Corp. | Community/Behavioral Health | 10814 Poolman Pl, Richmond, TX 77407-2817 | 2020-06-13 |
| 1942825286 | Advancing Communities Everywhere,llc | Community/Behavioral Health | 1108 E Main St Ste 1001, Richmond, VA 23219-3535 | 2020-06-12 |
| 1154957272 | Renewed Path Counseling Services LLC | Community/Behavioral Health | 602 Wood St Suite A, Richmond, LA 71282 | 2020-03-20 |
| 1306480223 | Insightbhi | Community/Behavioral Health | 9733 Cherokee Rd, Richmond, VA 23235-1330 | 2019-11-04 |
| 1013551134 | New Hope Wellness, LLC | Community/Behavioral Health | 11 S 12th St # 302, Richmond, VA 23219-4053 | 2019-10-31 |
| 1619527553 | Skye Empowerment Services | Community/Behavioral Health | 11518 Mossmorran Ln, Richmond, TX 77407-2185 | 2019-09-12 |
| 1134775026 | Bay Area Community Resources | Community/Behavioral Health | 5000 Patterson Cir, Richmond, CA 94805-1572 | 2019-08-15 |
| Find all providers in RICHMOND | ||||
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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.