MARY ELLEN WALTERS (NPI# 1588642805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588642805 |
| Entity Type | Individual |
| Full Name | MARY ELLEN WALTERS |
| Other Name | MARY E WALTERS |
| Credential | LCSW |
| Practice Address |
8950 Villa La Jolla Dr Ste C112 La Jolla CA 92037-1703 |
| Mailing Address |
8950 Villa La Lolla Dr. Ste. C112 La Jolla CA 92037 |
| Practice Telephone | 8586439771 |
| Practice Fax Number | 8584557612 |
| Mailing Telephone | 8586439771 |
| Mailing Fax Number | 8584557612 |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2019-06-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCS14566 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805645 | Mary Kathryn Walters | Optometrist | 655 Taylor Street, Fort Worth, TX 76102-4821 | 2020-09-09 |
| 1831717016 | Mary Walters | Early Intervention Provider Agency | 5876 Mark Lebleu Rd, Lake Charles, LA 70615-4501 | 2020-07-14 |
| 1649572058 | Mary L. Walters | Developmental Therapist | 211 W Lawrence Ave, Effingham, IL 62401-2630 | 2010-11-17 |
| 1144490210 | Mary Alice Walters | Social Worker | 670 Highway Ninety Two, Boydton, VA 23917-2234 | 2008-03-05 |
| 1942498639 | Mary L Walters | Dietitian, Registered | 268 Kingswood Trl, Toledo, OH 43615-5445 | 2007-10-09 |
| 1659387678 | Mary A Walters | Chiropractor | 1174 Wyoming Ave, Forty Fort, PA 18704-4016 | 2006-07-31 |
| 1104435122 | Mary Walters | Counselor | 76 Vassar St, Worcester, MA 01602-1535 | 2020-07-27 |
| 1376169136 | Mary Colleen Walters | Licensed Practical Nurse | 380 S Portage Path, Akron, OH 44320-2326 | 2020-06-17 |
| 1477042802 | Mary Teresa Walters | Nurse Practitioner | 100 E Idaho St, Boise, ID 83712 | 2018-05-01 |
| 1922504109 | Mary Walters | Registered Nurse | 153 Hazard Ave, Enfield, CT 06082-4592 | 2018-04-05 |
| Street Address |
8950 VILLA LA JOLLA DR STE C112 |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92037-1703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023302734 | Sirisha Nandipati | Student in an Organized Health Care Education/Training Program | 8950 Villa La Jolla Dr Ste C112, La Jolla, CA 92037-1703 | 2011-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982221768 | Equip Health Medical, PC | Clinic/Center | 2674 Costebelle Drive, Unit A, La Jolla, CA 92037 | 2020-06-29 |
| 1134745474 | Brenda Kay Wiederhold | Psychologist | Virtual Reality Medical Center, 9834 Genesee Avenue, Suite 427, La Jolla, CA 92037 | 2020-06-23 |
| 1316581598 | Kathleen M Blechertas | Physical Therapist | 9888 Genesee, Lj19, La Jolla, CA 92037 | 2019-10-31 |
| 1316592876 | Kevin Yanyan Li | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Mc7400, La Jolla, CA 92037 | 2019-08-01 |
| 1407400542 | Juan J Salmeron | Dentist | Callejin Internacional 351 L2, Los Algodones, BAJA CALIFORNIA 92037 | 2019-07-26 |
| 1609428598 | Nicole Whitney Mark | Physician Assistant | 8103 Caminito Sonoma, La Jolla, CA 92037 | 2019-07-11 |
| 1700357936 | Cecelia Rose Greene/pendzich | Mastectomy Fitter | 7760 Fay Ave, Suite M., La Jolla, CA 92037 | 2018-12-16 |
| 1740765890 | Jeenal Ankit Gordhandas | Student in an Organized Health Care Education/Training Program | East Campus Office Building, Medical Center Dr, La Jolla, CA 92037 | 2018-09-25 |
| 1306325220 | Lisa Beth Perlov Marks | Marriage & Family Therapist | 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 | 2018-08-10 |
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| Find all providers in zip 92037 | ||||
| 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 |
|---|---|---|---|---|
| 1336595206 | Catherine Ann Haralson | Social Worker | 8672 Villa La Jolla Dr, Unit 1, La Jolla, CA 92037-2369 | 2016-05-10 |
| 1619316247 | Danielle Kukene Glorioso | Social Worker | 3262 Holiday Court, Suite 220, La Jolla, CA 92037 | 2013-06-17 |
| 1740450659 | Izabel Caetano Francy | Social Worker | 10280 N Torrey Pines Rd Ste 406, La Jolla, CA 92037 | 2008-03-06 |
| 1942479951 | Mona Maureen Perlman | Social Worker | 8720 Villa La Jolla Dr Unit 110, La Jolla, CA 92037-1920 | 2008-02-22 |
| 1710108311 | John M Smith | Social Worker | 7734 Herschel Ave., Suite E, La Jolla, AR 92037 | 2007-05-01 |
| 1316029267 | Elizabeth M. Boyer | Social Worker | 7132 La Jolla Blvd, La Jolla, CA 92037-5432 | 2006-10-19 |
| 1013015072 | Kathleen A Kubo | Social Worker | 3344 Via Alicante, La Jolla, CA 92037-2745 | 2006-09-20 |
| 1457458028 | Irene Lisa Saunders | Social Worker | 7730 Herschel Ave, Suite H, La Jolla, CA 92037-4432 | 2006-09-17 |
| 1518971316 | Neil R. Nation | Social Worker | 4180 La Jolla Village Dr, Ste. 530, La Jolla, CA 92037-1402 | 2006-07-28 |
| 1013934678 | Victoria Jane Danzig | Social Worker | 8813 Villa La Jolla Dr, Suite 2002, La Jolla, CA 92037-1937 | 2006-07-17 |
| Find all providers in LA JOLLA | ||||
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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.