MARY ANNE M DUEITT (NPI# 1639504293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639504293 |
| Entity Type | Individual |
| Full Name | MARY ANNE M DUEITT |
| Practice Address |
101 Bodin Cir Travis Afb CA 94535-1809 |
| Practice Telephone | 7074235087 |
| Mailing Telephone | 7074235807 |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2019-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | 089.0115989 | VT | Behavioral Health & Social Service Providers |
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Street Address |
101 BODIN CIR |
| City | TRAVIS AFB |
| State | CA |
| Zip Code | 94535-1809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801893276 | Charles A Tujo | Radiology | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2005-06-30 |
| 1538769351 | Chelsey Violet Pelkey | Military Health Care Provider | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2020-10-30 |
| 1538768114 | Jordan Rose | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2020-10-23 |
| 1821606591 | Madelyn Hale | Military Health Care Provider | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2020-07-20 |
| 1932727856 | Julie Thein | Audiologist | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2020-07-07 |
| 1063039501 | Shae Daniel Bryant | Dentist | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2020-07-01 |
| 1598381089 | Aaron J Surbaugh | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2020-06-19 |
| 1194348466 | Amanda Vance | Registered Nurse | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2020-05-21 |
| 1427681196 | Bradley Burkey | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2020-02-20 |
| 1821629288 | Gloria Calvillo | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2020-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487711 | Sheila C Flood | Student in an Organized Health Care Education/Training Program | 101 Biden Circle, Fairfield, CA 94535 | 2020-04-28 |
| 1568081255 | Miguel Julian Moreno | Student in an Organized Health Care Education/Training Program | 690 Airmen Drive, Travis Afb, CA 94535 | 2020-04-13 |
| 1174096101 | Zlatoslava Karga | Nurse Practitioner | 60mdg / Sgow, 101 Bodin Circle, Travis Afb, CA 94535 | 2019-01-02 |
| 1437648292 | Luke C Vera | Dentist | David Grant Medical Center 101 Bodin Circle, Travis Air Force Base, CA 94535 | 2018-05-08 |
| 1588163430 | Sanaz Ziad | Pharmacist | 60mdg/mdts, 101 Bodin Circle, Travis Afb, CA 94535 | 2018-02-06 |
| 1194265686 | Geoffrey Johnston | Dentist | 60 Mdg/sgdd, 101 Bodin Circle, Travis Afb, CA 94535 | 2017-03-02 |
| 1336693407 | Hannah Isla Nordwall | Social Worker | 60 Mdg/mdos 101 Bodin Cir, Travis Afb, CA 94535 | 2016-08-06 |
| 1184177149 | Taylor Murrie-robinson | Social Worker | 60mdg / Sgow Mental Health Clinic, 101 Bodin Circle, Travis Afb, CA 94535 | 2016-07-26 |
| 1952759607 | Eric Kincaid-sharp | General Practice | 60 Mdg/amds, 101 Bodin Cir, Travis Afb, CA 94535 | 2016-06-02 |
| 1023472040 | Genieve Marie Martinez-hernandez | Internal Medicine | 60 Mdg/sgomi, 101 Bodin Circle, Fairfield, CA 94535 | 2016-04-06 |
| Find all providers in zip 94535 | ||||
| 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 |
|---|---|---|---|---|
| 1336693407 | Hannah Isla Nordwall | Social Worker | 60 Mdg/mdos 101 Bodin Cir, Travis Afb, CA 94535 | 2016-08-06 |
| 1851454383 | Kimbray Nichole Mcneal | Social Worker | 100 Bodin Circle, Travis Afb, CA 94535-2941 | 2006-12-18 |
| 1396201810 | Latrise Muchison | Social Worker | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2019-02-20 |
| 1720560519 | Huey Fairweather | Social Worker | 103 Bodin Cir, Travis Afb, CA 94535 | 2018-08-29 |
| 1598265902 | Jennifer M Orozco | Social Worker | 60 Mdg/sgow, 101 Bodin Cir, Travis Afb, CA 94535-1800 | 2018-02-13 |
| 1346749330 | Theresa Agosto-smart | Social Worker | 101 Bodin Cir, Travis Afb, CA 94535 | 2018-02-06 |
| 1407362130 | Jessica Sibel Milford | Social Worker | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2017-12-18 |
| 1073987640 | Sarah Coyle | Social Worker | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2015-11-19 |
| 1144438201 | Steven Lynn Harris | Social Worker | 60 Mdg/sgic, 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2007-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071460 | Kimberly Ann Tahernia | Social Worker | 155 Wanish Pl, Palm Desert, CA 92260-7319 | 2020-10-22 |
| 1831798594 | Open Minds Sb LLC | Social Worker | 312 Lighthouse Rd, Santa Barbara, CA 93109-1908 | 2020-10-22 |
| 1619576790 | Larry George Hazaert | Social Worker | 9828 Central Avenue, Montclair, CA 91763-2817 | 2020-10-20 |
| 1396343703 | Catya Jeannette Molina | Social Worker | 2000 Hazeltine Dr, Oxnard, CA 93036-6308 | 2020-10-16 |
| 1467050831 | Michael J Samuelson | Social Worker | 23501 Cinema Dr Ste 200&210, Valencia, CA 91355-5428 | 2020-10-16 |
| 1245837004 | Tanya Renee Banks | Social Worker | 2280 Benton Dr # C, Redding, CA 96003-5349 | 2020-10-05 |
| 1669089868 | Kimberly J Hansen Anderson | Social Worker | 12071 Tivoli Park Row Unit 2, San Diego, CA 92128-4385 | 2020-09-30 |
| 1558978338 | Emily J White | Social Worker | 1225 Vienna Dr Spc 292, Sunnyvale, CA 94089-1833 | 2020-09-25 |
| 1255947958 | Diep Le | Social Worker | 991 39th St Apt B, Oakland, CA 94608-3899 | 2020-09-17 |
| 1790399061 | Miyu Rosie Tanabe | Social Worker | 2730 Torrey Pine Dr, Fullerton, CA 92835-2848 | 2020-09-03 |
| Find all providers with the same taxonomy | ||||
| City | TRAVIS AFB |
| Zip Code | 94535 |
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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.