MRS. JULIANA BUSTILLOS (NPI# 1639487457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639487457 |
| Entity Type | Individual |
| Full Name | MRS. JULIANA BUSTILLOS |
| Credential | LCSW |
| Practice Address |
1275 B St Merced CA 95341 |
| Mailing Address |
Po Box 2087 Merced CA 95344-0087 |
| Practice Telephone | 2093816800 |
| Mailing Telephone | 2093816800 |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2018-09-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
36807 | CA | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW85663 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1275 B ST |
| City | MERCED |
| State | CA |
| Zip Code | 95341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942354907 | Lori Marie Keegan | Social Worker | 1275 B St, Merced, CA 95341 | 2007-01-23 |
| 1053975573 | Sophia Marie Ornelas | Case Manager/Care Coordinator | 1275 B St, Merced, CA 95341-6345 | 2019-04-30 |
| 1346726007 | Tony T. Slaton | Counselor | 1275 B St, Merced, CA 95341 | 2018-07-16 |
| 1932636487 | James Martin Quinn | Counselor | 1275 B St, Merced, CA 95341-6345 | 2017-05-15 |
| 1033593942 | Pangcha Vang | Counselor | 1275 B St, Merced, CA 95341-6345 | 2015-07-10 |
| 1255764627 | Bradley Thomas Heidenberg | Counselor | 1275 B St, Merced, CA 95341 | 2013-08-20 |
| 1386911725 | Tanya Kaye Walker | Counselor | 1275 B St, Merced, CA 95341-6345 | 2011-11-30 |
| 1932346012 | Samuel Rangel | Counselor | 1275 B St, Merced, CA 95341-6345 | 2009-01-12 |
| 1235336215 | Jaime Antonio Doradea | Counselor | 1275 B St, Merced, CA 95341-6345 | 2007-07-02 |
| 1790908242 | Alisha Christine Swanson | Counselor | 1275 B St, Merced, CA 95341-6345 | 2007-04-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255942520 | Samantha Canal | Counselor | 300 E 13th St Suite C, Merced, CA 95341 | 2020-08-11 |
| 1043874100 | Phyllis A Patterson | Peer Specialist | 490 E 13th Street, Merced, CA 95341 | 2019-04-24 |
| 1093209488 | Cierra Nicole Sweet | Case Manager/Care Coordinator | 490 E 13th St, Merced, CA 95341 | 2018-06-19 |
| 1528444148 | Mirian Cardenas | Counselor | 301 E 13th St Ste D, Merced, CA 95341 | 2015-08-05 |
| 1962839290 | Jessica Perez | Counselor | 480 East 13th Street, Building, Merced, CA 95341 | 2013-10-01 |
| 1235417171 | Mayla T Carlos | Physician Assistant | 847 W. Childs Ave., Merced, CA 95341 | 2011-07-26 |
| 1588951883 | Altia N Johnson | Registered Nurse | 260 E 15th Street, Merced, CA 95341 | 2011-07-07 |
| 1598061657 | County of Merced | Clinic/Center | 490 E. 13th Street, Merced, CA 95341 | 2011-02-07 |
| 1275710741 | Kathryn Renee Rodriguez | Social Worker | 2777 N Highway 59, Merced County Adult Services, Merced, CA 95341 | 2008-01-28 |
| 1700060324 | Irene Miranda-henson | Registered Nurse | 797 West Childs Avenue, Merced, CA 95341 | 2007-12-18 |
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| 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 |
|---|---|---|---|---|
| 1659897957 | Melody Vega | Social Worker | 3195 M Street, Merced, CA 95348 | 2017-08-17 |
| 1427361674 | Sherry Marie Verna | Social Worker | 1012 El Portal Dr, Merced, CA 95340-0613 | 2010-07-16 |
| 1366578973 | Patricia Medina | Social Worker | 300 E 15th St Ste B, Merced, CA 95341-6217 | 2007-02-26 |
| 1942354907 | Lori Marie Keegan | Social Worker | 1275 B St, Merced, CA 95341 | 2007-01-23 |
| 1871645143 | Jean B Luckman | Social Worker | 1037 W Yosemite Ave, # 4, Merced, CA 95348-2186 | 2007-01-17 |
| 1174626576 | Carla Jean Jorgensen | Social Worker | 2805 G Street, Merced, CA 95340 | 2006-09-07 |
| 1609883826 | William Anthony Goggin | Social Worker | 1160 Olivewood Dr, Ste A9, Merced, CA 95340 | 2006-08-01 |
| 1275581399 | Diana Sehnal | Social Worker | 1170 W Olive Ave Ste G, Merced, CA 95348-1959 | 2006-05-04 |
| 1396202149 | Tawnya Jean Severe | Social Worker | 3360 N Highway 59 Ste K, Merced, CA 95348-9405 | 2019-02-28 |
| 1750876777 | Kimberly Sheree Sanchez | Social Worker | 300 E 15th St, Merced, CA 95341-6217 | 2018-06-22 |
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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.