MS. MAXINE KING WOFFORD (NPI# 1609208867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609208867 |
| Entity Type | Individual |
| Full Name | MS. MAXINE KING WOFFORD |
| Credential | LVN |
| Practice Address |
151 Kalmus Dr Suite K-3 Costa Mesa CA 92626-5988 |
| Practice Telephone | 7143843870 |
| Practice Fax Number | 7142429268 |
| Mailing Telephone | 7143843870 |
| Mailing Fax Number | 7142429268 |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2013-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | VN199574 | CA | Other Service Providers |
| Street Address |
151 KALMUS DR SUITE K-3 |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92626-5988 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538241773 | Lewis Vernon Webb | Psychologist | 151 Kalmus Dr, K-3, Costa Mesa, CA 92626-5988 | 2006-10-19 |
| 1316455439 | Vaughan Chiropractic and Wellness PC | Chiropractor | 151 Kalmus Dr, Costa Mesa, CA 92626-5988 | 2018-01-11 |
| 1871942029 | Egb Holdings | Hospice Care, Community Based | 151 Kalmus Dr, Suite D-104, Costa Mesa, CA 92626-5988 | 2016-06-08 |
| 1629439286 | Healthcare Services, Inc. | Substance Abuse Rehabilitation Facility | 151 Kalmus Dr, Suite K-1, Costa Mesa, CA 92626-5988 | 2016-03-10 |
| 1093157190 | Melissa Marie Siegl | Licensed Vocational Nurse | 151 Kalmus Dr, K3, Costa Mesa, CA 92626-5988 | 2013-07-18 |
| 1295173839 | Diane Dixon | Social Worker | 151 Kalmus Dr, Suite# K-3, Costa Mesa, CA 92626-5988 | 2013-06-05 |
| 1902240336 | Michele D Martinez | Licensed Vocational Nurse | 151 Kalmus Dr, Suite K-3, Costa Mesa, CA 92626-5988 | 2013-04-29 |
| 1659715209 | Brandi Nicole Dawson | Licensed Vocational Nurse | 151 Kalmus Dr, Costa Mesa, CA 92626-5988 | 2013-04-25 |
| 1952646580 | Jody M. Stratton & Associates, Inc. | Speech-Language Pathologist | 151 Kalmus Dr, Suite A101, Costa Mesa, CA 92626-5988 | 2012-12-08 |
| 1023386703 | Karen Burrola | Registered Nurse | 151 Kalmus Dr, Costa Mesa, CA 92626-5988 | 2011-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536982 | Sergio Gutierrez | Behavior Technician | 3303 Harbor Blvd., Suite B8, Costa Mesa, CA 92626 | 2020-10-22 |
| 1780201848 | Kelly Chauvet | Behavior Technician | 1503 Nutmeg Place Suite 110, Costa Mesa, CA 92626 | 2020-07-06 |
| 1316564610 | Timo Rosa | Behavior Technician | 1503 Nutmeg Place, Suite 110, Costa Mesa, CA 92626 | 2020-07-02 |
| 1255966115 | Dalia A Sehweil | Behavior Technician | 1111 Baker, Costa Mesa, CA 92626 | 2020-03-11 |
| 1265071096 | Austin Stotelmyre | Behavior Technician | 1111 Baker St Costa Mesa 92626, Costa Mesa, CA 92626 | 2019-12-26 |
| 1396383022 | The Open Table | Community/Behavioral Health | 151 Kalmus Dr. Bldg C, Suite 100, Costa Mesa, CA 92626 | 2019-12-12 |
| 1851933550 | Jennifer Rivera | Behavior Technician | 1111 Baker St. Unit #a, Costa Mesa, CA 92626 | 2019-10-14 |
| 1962053595 | Peter Na | Behavior Technician | Behavior Functions 3303 Harbor Blvd, Ste B8, Costa Mesa, CA 92626 | 2019-09-25 |
| 1346897147 | Jennifer Lopez | Behavior Technician | 555 Alton Blvd Suite 150, Costa Mesa, CA 92626 | 2019-08-26 |
| 1679134084 | Danny Garcia Chiropractic, PC | Chiropractor | 1503 South Coast Drive, Suite 319, Costa Mesa, CA 92626 | 2019-06-26 |
| Find all providers in zip 92626 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174093017 | The Dream Recovery | Case Manager/Care Coordinator | 3151 Airway Ave Ste G3, Costa Mesa, CA 92626-4624 | 2018-12-04 |
| 1841611076 | Heather Flickinger | Case Manager/Care Coordinator | 375 E. Baker Street, Suite A, Costa Mesa, CA 92626 | 2013-12-13 |
| 1750626552 | Marla Renee Goddard | Case Manager/Care Coordinator | 151 Kalmus Drive, K3, Costa Mesa, CA 92627 | 2012-12-05 |
| 1326343021 | Robert John Tomaka | Case Manager/Care Coordinator | 2840 Andros St, Costa Mesa, CA 92626-4803 | 2011-01-11 |
| 1740747617 | Quynh Nguyen | Case Manager/Care Coordinator | 555 Anton Blvd Ste 150, Costa Mesa, CA 92626-7036 | 2019-02-26 |
| 1881174142 | Brittnae A Stallworth | Case Manager/Care Coordinator | 275 Baker St, Costa Mesa, CA 92626-4566 | 2018-08-16 |
| 1801376132 | Sharon Tran | Case Manager/Care Coordinator | 275 Baker St Ste A, Costa Mesa, CA 92626-4566 | 2018-08-16 |
| 1629572672 | Kimberly K Alexander | Case Manager/Care Coordinator | 2915 Red Hill Ave Ste C102, Costa Mesa, CA 92626-5930 | 2018-03-22 |
| 1225568769 | Melissa Ann Mirando | Case Manager/Care Coordinator | 275 Baker St Ste A, Costa Mesa, CA 92626-4566 | 2017-06-18 |
| 1477095578 | Lily Rico | Case Manager/Care Coordinator | 3188 Airway Ave, Suite F, Costa Mesa, CA 92626-4652 | 2016-11-07 |
| Find all providers in COSTA MESA | ||||
| City | COSTA MESA |
| Zip Code | 92626 |
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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.