MR. JEZREEL MARTIN SUPETRAN (NPI# 1629301213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629301213 |
| Entity Type | Individual |
| Full Name | MR. JEZREEL MARTIN SUPETRAN |
| Practice Address |
1200 N Main St #201 Santa Ana CA 92701-3640 |
| Mailing Address |
1200 N. Main St. #201 Santa Ana CA 92701-3640 |
| Practice Telephone | 7144806642 |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2009-09-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Street Address |
1200 N MAIN ST #201 |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92701-3640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740281765 | Jeanette Shelly | Nurse Practitioner | 1200 N Main St, Suite 650, Santa Ana, CA 92701-3640 | 2005-08-02 |
| 1053924324 | Juliana Marie Garcia | Case Manager/Care Coordinator | 1200 N Main St, Santa Ana, CA 92701-3640 | 2020-08-26 |
| 1992316855 | Ramona Pritchett | Social Worker | 1200 N Main St, Santa Ana, CA 92701-3640 | 2020-08-13 |
| 1528615572 | Corina Ychelle Curiel | Counselor | 1200 N Main St, Santa Ana, CA 92701-3640 | 2019-08-23 |
| 1760037055 | Julie Ann Salyards | Counselor | 1200 N Main St, Santa Ana, CA 92701-3640 | 2019-08-05 |
| 1811558133 | Hannah Tran | Counselor | 1200 N Main St, Santa Ana, CA 92701-3640 | 2019-06-26 |
| 1417432964 | Meghan Elizabeth Hayhoe | Marriage & Family Therapist | 1200 N Main St, Santa Ana, CA 92701-3640 | 2018-10-01 |
| 1174007686 | Logan Eaton | Social Worker | 1200 N Main St, Suite 200, Santa Ana, CA 92701 | 2018-09-20 |
| 1518498203 | Maurice Ngo | Behavior Technician | 1200 N Main St, Ste 300, Santa Ana, CA 92701-3640 | 2017-03-23 |
| 1114462132 | Marina Refaat Haroon | Counselor | 1200 N Main St, Santa Ana, CA 92701-3640 | 2016-12-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841807401 | Midori K Dirig | Psychologist | 405 W. 3rd Street, Santa Ana, CA 92701 | 2020-09-28 |
| 1952915456 | Alexandria Bekele | Counselor | Address: 405 W. 5th Street, Santa Ana, CA 92701 | 2020-09-02 |
| 1508479239 | Candice Bjorkman | Counselor | 1201 E Fruit St, Santa Ana, CA 92701 | 2020-08-24 |
| 1013527365 | Maryiam Elizabeth Barkho | Dentist | 809 South Main Street Suite B, Santa Ana, CA 92701 | 2020-08-02 |
| 1447803788 | Emmett Eugene Cook II | Counselor | 1207 E Fruit Street, Santa Ana, CA 92701 | 2019-07-16 |
| 1619538741 | Emily H Sanders | Marriage & Family Therapist | 1800-f Parkcourt Place, Suite 205, Santa Ana, CA 92701 | 2019-06-28 |
| 1184191769 | Peace of Mind Wellness & Family Counseling, Inc. | Counselor | 1651 E. Fourth St Ste 240, Santa Ana, CA 92701 | 2018-10-31 |
| 1841765815 | Kelly Marie Contreras | Clinical Medical Laboratory | 902 N. Grand Avenue, Suite 204, Santa Ana, CA 92701 | 2018-10-05 |
| 1780176537 | Diane Carol Navarro-prescott | Counselor | 1633 East 4th Street, Santa Ana, CA 92701 | 2018-06-06 |
| 1750873758 | Eileen Fernandez | Counselor | 615 W Civic Center Dr Fl 2, Santa Ana, CA 92701 | 2018-06-05 |
| Find all providers in zip 92701 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932678588 | Brenna Filazzola | Social Worker | 1526 Brookhollow Dr Ste 80, Santa Ana, CA 92705-5421 | 2018-11-13 |
| 1144739277 | Luis Antonio Perez | Social Worker | 2112 E 4th St. #107, Santa Ana, CA 92807 | 2017-09-20 |
| 1699290593 | Thuy Diep Ngo | Social Worker | 1402 Evonda St, Santa Ana, CA 92703-1135 | 2017-08-11 |
| 1952821472 | Ashley Tapia | Social Worker | 405 W 5th St Bldg 38c, Santa Ana, CA 92701-4599 | 2017-06-26 |
| 1184077547 | Maricela Villa | Social Worker | 1928 S Grand Ave, Bldg A, Santa Ana, CA 92705-4902 | 2016-07-20 |
| 1164767869 | Abby A Molina-garcia | Social Worker | 888 W Santa Ana Blvd Ste 150, Santa Ana, CA 92701-4592 | 2012-12-06 |
| 1295087401 | Ashley Carney | Social Worker | 2112 E 4th St Ste 107, Santa Ana, CA 92705-3849 | 2012-10-11 |
| 1780966077 | Cynthia Moreno | Social Worker | 1801 W 18th St, Santa Ana, CA 92706-2326 | 2011-09-13 |
| 1720386485 | Talitha James | Social Worker | 1725 W 17th St Rm 120, Santa Ana, CA 92706-2316 | 2011-03-04 |
| 1346557659 | Jeanette Colleen Doyle | Social Worker | 2416 S Main St Unit A, Santa Ana, CA 92707-3255 | 2010-09-08 |
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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.