DEPARTMENT OF BEHAVIORAL HEALTH (NPI# 1629137575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629137575 |
| Entity Type | Organization |
| Organization Name | DEPARTMENT OF BEHAVIORAL HEALTH |
| Practice Address |
4441 E Kings Canyon Rd Fresno CA 93702-3604 |
| Practice Telephone | 5594534099 |
| Mailing Telephone | 5594534099 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2019-06-10 |
| Authorized Official Name | DAWAN UTECHT (MENTAL HEALTH DIRECTOR) |
| Authorized Official Telephone | 5596009193 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCS # 21112 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LCS | 21112 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700923968 | Department of Behavioral Health | Case Management | 2164 Hackamore Pl, Riverside, CA 92506-4616 | 2007-01-30 |
| 1801318316 | Department of Behavioral Health | Social Worker | 2025 E Dakota Ave, Fresno, CA 93726-4804 | 2017-07-17 |
| 1841612587 | Department of Behavioral Health | Intermediate Care Facility, Mental Illness | 1221 Fulton Mall, Fresno, CA 93721-1915 | 2014-01-15 |
| 1871628750 | Department of Behavioral Health | Health Maintenance Organization | 805 E Mountain View St, Barstow, CA 92311-3033 | 2007-02-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DEPARTMENT OF BEHAVIORAL HEALTH | 4417 E Inyo Ave Bldg 333, Fresno, CA 93702-2977 |
| System for Award Management (SAM) Entities | DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES | 1220 Bank St, Richmond, VA 23219-3645 |
| Street Address |
4441 E KINGS CANYON RD |
| City | FRESNO |
| State | CA |
| Zip Code | 93702-3604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770538001 | County of Fresno | Clinic/Center | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2006-05-24 |
| 1912505215 | Darlene Garcia Alvarez | Licensed Vocational Nurse | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-10-09 |
| 1134736606 | Abigail Coronado | Licensed Vocational Nurse | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-09-28 |
| 1659983906 | Lauren Michelle Spade | Licensed Vocational Nurse | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-08-18 |
| 1952912461 | Elesia Faye Evans | Registered Nurse | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-08-10 |
| 1457978553 | Fresno County Department of Behavioral Health | Licensed Vocational Nurse | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-07-06 |
| 1194342477 | Kalisha Goodwin | Student in an Organized Health Care Education/Training Program | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-07-02 |
| 1285251512 | Adrienne Quesada Guzman | Licensed Vocational Nurse | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-07-02 |
| 1942827241 | Christina Nouanesymanivanh Navarro I | Licensed Vocational Nurse | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-07-02 |
| 1588281968 | Briana Elyse Pedro | Licensed Vocational Nurse | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730644543 | Brandy Eugena Dickey | Licensed Vocational Nurse | 496 S. Barton St., Fresno, CA 93702 | 2019-02-06 |
| 1205308269 | Kelly Ramirez | Counselor | 496 S. Barton St, Fresno, CA 93702 | 2018-12-31 |
| 1518437995 | Kimberlin Ann Klein | Licensed Vocational Nurse | 4411 E Kings Canyon Rd #319, Fresno, CA 93702 | 2018-11-28 |
| 1932677317 | Simone Danielle Cato | Counselor | 496 S Barton St, Fresno, CA 93702 | 2018-11-05 |
| 1558879841 | Mekdes Elizabeth Yilma | Marriage & Family Therapist | 4144 E. Kings Canyon Rd., Fresno, CA 93702 | 2018-01-20 |
| 1831647874 | Rick Foster | Registered Nurse | 441 East Kings Canyon Ave, Fresno, CA 93702 | 2016-09-20 |
| 1770935140 | Diana L. Eaglin | Registered Nurse | 4409 E. Inyo St., Modular A, Fresno, CA 93702 | 2016-07-08 |
| 1700257243 | Elizabeth Lee | Registered Nurse | 4411 E.kings Canyon Rd, Fresno, CA 93702 | 2015-10-09 |
| 1548657299 | Brandi Lynn Rieux | Counselor | 496 S. Barton Ave, Fresno, CA 93702 | 2015-04-21 |
| 1891069548 | Tamara Taylor | Case Manager/Care Coordinator | 890 S. Tenth Street, Fresno, CA 93702 | 2012-02-28 |
| Find all providers in zip 93702 | ||||
| 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 |
|---|---|---|---|---|
| 1528668324 | Paragon Counseling and Consulting | Social Worker | 2919 Driftwood Bend Dr, Fresno, TX 77545-6113 | 2020-10-30 |
| 1104431329 | Sawndra Williams | Social Worker | 6434 N Vernal Ave, Fresno, CA 93722-9100 | 2020-09-14 |
| 1003429614 | Allyson Jennifer Torres | Social Worker | 1156 W Escalon Ave, Fresno, CA 93711-2017 | 2020-08-25 |
| 1003431958 | Samantha Oleson | Social Worker | 677 E Roberts Ave, Fresno, CA 93710-6244 | 2020-06-16 |
| 1871125005 | Gursharn Kaur Sahota | Social Worker | 6671 E Dayton Ave, Fresno, CA 93727-9137 | 2020-02-05 |
| 1073162327 | Brooke L Woods | Social Worker | 126 S Kona Ave, Fresno, CA 93727-3453 | 2019-09-10 |
| 1700439684 | Candice Valencia Wilkins | Social Worker | 2490 W Shaw Ave Ste 101, Fresno, CA 93711-3063 | 2019-07-19 |
| 1528628765 | Tyler Ryan Avila | Social Worker | 5150 N 6th St Ste 169, Fresno, CA 93710-7505 | 2019-06-19 |
| 1770141228 | Cedrina Ruffin | Social Worker | 2407 Maywood Run Ct, Fresno, TX 77545-7141 | 2019-05-30 |
| 1477013282 | Michael Francis Themins | Social Worker | 4721 W Jennifer Ave Ste 3, Fresno, CA 93722-6499 | 2019-03-20 |
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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.