RAVEN WHITE (NPI# 1649623919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649623919 |
| Entity Type | Individual |
| Full Name | RAVEN WHITE |
| Other Name | RAVEN GARDNER |
| Credential | MSW |
| Practice Address |
572 N Arrowhead Ave San Bernardino CA 92401-1251 |
| Practice Telephone | 9097545872 |
| Mailing Telephone | 9517545872 |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2020-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
72356 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033601620 | Raven White | Behavior Technician | 1100 Red Banks Rd, Greenville, NC 27858-5205 | 2018-05-31 |
| Street Address |
572 N ARROWHEAD AVE |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92401-1251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396870556 | Kenneth Lillard | Counselor | 572 N Arrowhead Ave, San Bernardino, CA 92401-1251 | 2007-02-21 |
| 1316545965 | Rachel Jeanette Lomeli | Case Manager/Care Coordinator | 572 N Arrowhead Ave, San Bernardino, CA 92401-1251 | 2020-10-15 |
| 1033722434 | Marjorie Fabiola Rendon | Student in an Organized Health Care Education/Training Program | 572 N Arrowhead Ave, San Bernardino, CA 92401-1251 | 2020-08-25 |
| 1093336356 | Adrienne Denise Green | Community Health Worker | 572 N Arrowhead Ave, San Bernardino, CA 92401-1251 | 2020-04-28 |
| 1245861483 | Matthew Duncan | Case Manager/Care Coordinator | 572 N Arrowhead Ave, San Bernardino, CA 92401-1251 | 2020-01-27 |
| 1629608229 | Anthony Manuel Paez | Counselor | 572 N Arrowhead Ave, San Bernardino, CA 92401-1251 | 2020-01-22 |
| 1275163917 | Dyanna Llamas | Case Manager/Care Coordinator | 572 N Arrowhead Ave, San Bernardino, CA 92401-1251 | 2020-01-22 |
| 1821635053 | Eternity Mimiko Veney | Case Manager/Care Coordinator | 572 N Arrowhead Ave, San Bernardino, CA 92401-1251 | 2019-12-06 |
| 1174160436 | Juan Jose Miranda | Case Manager/Care Coordinator | 572 N Arrowhead Ave, San Bernardino, CA 92401-1251 | 2019-12-05 |
| 1417503525 | Yessica Iturbide | Counselor | 572 N Arrowhead Ave, San Bernardino, CA 92401-1251 | 2019-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885468 | Eagles Wings Hospice, LLC | Hospice Care, Community Based | 255 N. D Street, Suite 200-xix, San Bernardino, CA 92401 | 2020-09-09 |
| 1457831398 | Omar Torres | Case Manager/Care Coordinator | 574 N Arrowhead Ave., San Bernardino, CA 92401 | 2018-08-20 |
| 1104354539 | Llesenia Aleman | Case Manager/Care Coordinator | 597 North Arrowhead Ave, San Bernardino, CA 92401 | 2017-05-30 |
| 1669916193 | Yvonne Castro | Marriage & Family Therapist | 572 N. Arrowhead Ave., Suite 200, San Bernardino, CA 92401 | 2016-12-19 |
| 1811342132 | Maria Teresa Rodriguez Cortes | Counselor | 572 N. Arrowhead Ave. Suite 100, San Bernardino, CA 92401 | 2016-04-25 |
| 1841603339 | Kelly Michelle Cottingham | Licensed Practical Nurse | 350 W. Fifth Street, Suite 212, San Bernardino, CA 92401 | 2014-06-03 |
| 1558781245 | Desiree Inez Harris | Counselor | 572 N Arrowhead Ave #200, San Bernardino, CALIFORNIA 92401 | 2014-04-21 |
| 1194159970 | Sabrina Shrita Thakur | Marriage & Family Therapist | 572 N Arrowhead, San Bernardino, CA 92401 | 2013-08-28 |
| 1770845497 | Youths' Hope Licensed Clinical Social Worker Inc | Counselor | 255 N. D Street, Suite 400, San Bernardino, CA 92401 | 2012-06-08 |
| 1235461427 | Erin Nicole Stines | Recreation Therapist | 572 N. Arrowhead Ave. Suite 200, San Bernardino, CA 92401 | 2010-02-12 |
| Find all providers in zip 92401 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700343183 | Phillip Loving | Counselor | 5500 University Pkwy # Ce-120, San Bernardino, CA 92407-2318 | 2019-02-21 |
| 1285108555 | Sl Hobson Enterprises LLC | Counselor | 445 S Arrowhead Ave Ste C, San Bernardino, CA 92408-1335 | 2019-01-19 |
| 1730660069 | Kate E Salami | Counselor | 255 N D St Ste 400, San Bernardino, CA 92401-1715 | 2018-08-24 |
| 1659875904 | Ezekiel Moseley | Counselor | 225 W Hospitality Ln Ste 201d, San Bernardino, CA 92408-3245 | 2018-03-21 |
| 1336647494 | Paul J Iorio | Counselor | 1669 Norht E Street, San Bernardino, CA 92405 | 2018-01-24 |
| 1396262119 | Katherine Ingram | Counselor | 1905 Business Center Dr Unit 100, San Bernardino, CA 92408-3460 | 2017-08-23 |
| 1245760909 | Leslie E Brooks Jr. | Counselor | 325 W. Hospitality Ln. Ste 103, San Bernardino, CA 92408 | 2017-06-15 |
| 1417486788 | Juanita Marisol Barrientos | Counselor | 1908 Business Center Dr., San Bernardino, CA 92408 | 2017-06-08 |
| 1245768480 | Erika Sethi | Counselor | 900 E. Gilbert St, Cottage 4, San Bernardino, CA 92408-3258 | 2017-06-01 |
| 1699210591 | Stacey Ramirez | Counselor | 244 S D St, San Bernardino, CA 92401-2004 | 2016-12-30 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92401 |
Please comment or provide details below to improve the information on RAVEN WHITE.
| 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.