MS. HOLLY STILL (NPI# 1609163591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609163591 |
| Entity Type | Individual |
| Full Name | MS. HOLLY STILL |
| Practice Address |
15217 San Bernardino Avenue Fontana CA 92335 |
| Practice Telephone | 9516432150 |
| Mailing Telephone | 9516432150 |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2019-06-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW76318 | CA | Behavioral Health & Social Service Providers |
| Street Address |
15217 SAN BERNARDINO AVENUE |
| City | FONTANA |
| State | CA |
| Zip Code | 92335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
| 1790312791 | Trevor Nguyen | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd, Building A, Fontana, CA 92335 | 2020-03-27 |
| 1184251365 | Benjamin Chang | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd., Bldg. A, Fontana, CA 92335 | 2020-03-26 |
| 1407487309 | Perla Hernandez | Licensed Vocational Nurse | 14677 Merrill Aver, Fontana, CA 92335 | 2020-01-29 |
| 1013552660 | Valencia Malone | Licensed Vocational Nurse | 14677 Merrill, Fontana, CA 92335 | 2019-11-07 |
| 1831749779 | Daniel Eric Wright | Student in an Organized Health Care Education/Training Program | 14677 Merrell Ave., Fontana, CA 92335 | 2019-09-12 |
| 1962069815 | Melissa Rivera | Licensed Vocational Nurse | 15217 San Bernardino Ave., Fontana, CA 92335 | 2019-05-28 |
| 1275199770 | Jennifer Lynn Malone | Peer Specialist | 14677 Merrall Ave, Fontana, CA 92335 | 2019-05-10 |
| 1770147894 | Noelle Chong | Registered Nurse | 14677 Merill Ave, Fontana, CA 92335 | 2019-04-24 |
| 1992261929 | Destiny Alzate | Counselor | 1467 Merrill Ave, Fontana, CA 92335 | 2019-02-14 |
| Find all providers in zip 92335 | ||||
| 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 |
|---|---|---|---|---|
| 1942858964 | Royals' Lcsw Therapeutic Services, Inc | Social Worker | 15533 Carrera Dr, Fontana, CA 92337-0949 | 2019-09-03 |
| 1205291697 | Jared Garcia | Social Worker | 17284 Slover Ave Ste 105, Fontana, CA 92337-7584 | 2015-12-29 |
| 1679955819 | Maria Cutler | Social Worker | 9961 Sierra Ave # Mob4, Fontana, CA 92335-6720 | 2015-06-24 |
| 1558624049 | Shawndra Oletha Williams | Social Worker | 9985 Sierra Ave # Mob4, Fontana, CA 92335-6720 | 2012-06-19 |
| 1912287996 | Jacqueline L Smith | Social Worker | 7426 Cherry Ave Ste 210-627, Fontana, CA 92336 | 2011-08-23 |
| 1740571223 | Mary E. Frazier | Social Worker | 569 Forest Glen Dr, Fontana, WI 53125-1558 | 2011-05-02 |
| 1962738740 | Kim Hurley | Social Worker | 7585 Yellow Iris Ct, Fontana, CA 92336-0729 | 2009-10-28 |
| 1073630687 | Rachel Michelle Estrada | Social Worker | 7525 Wynstone Pl, Fontana, CA 92336-5487 | 2007-03-26 |
| 1033249842 | Monica Victoria Pulido | Social Worker | 8485 Tamarind Ave, Fontana, CA 92335-3975 | 2007-03-07 |
| 1407997497 | Roger Delgado | Social Worker | 14055 Bancroft Ct, Fontana, CA 92336-3510 | 2007-02-10 |
| Find all providers in FONTANA | ||||
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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.