MS. NICOLE GILLESPIE (NPI# 1649652413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649652413 |
| Entity Type | Individual |
| Full Name | MS. NICOLE GILLESPIE |
| Credential | ASW 72936 |
| Practice Address |
771 W Blaine St Ste C Riverside CA 92507-3940 |
| Mailing Address |
1568 E Brockton Ave Redlands CA 92374-3904 |
| Practice Telephone | 9513584181 |
| Mailing Telephone | 9098098845 |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2019-07-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | ASW72936 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 68615 Perez Rd Ste 6a, Cathedral City, CA 922347200 | 7607702286 |
| Street Address |
771 W BLAINE ST STE C |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92507-3940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659781334 | Ceta Alford | Case Manager/Care Coordinator | 771 W Blaine St Ste C, Riverside, CA 92507-3940 | 2014-05-02 |
| 1750948253 | Fallon Twyman | Peer Specialist | 771 W Blaine St Ste C, Riverside, CA 92507-3940 | 2019-05-21 |
| 1649713108 | Daniel Diaz | Counselor | 771 W Blaine St Ste C, Riverside, CA 92507-3940 | 2016-11-30 |
| 1740656743 | Lorena Alvidrez | Counselor | 771 W Blaine St Ste C, Riverside, CA 92507-3940 | 2015-08-13 |
| 1316344765 | Martha Navarro | Counselor | 771 W Blaine St Ste C, Riverside, CA 92507-3940 | 2014-12-01 |
| 1538561444 | Riverside County Dept of Mental Health | Case Management | 771 W Blaine St Ste C, Riverside, CA 92507-3940 | 2014-09-23 |
| 1639589310 | Jess Schreckengost | Counselor | 771 W Blaine St Ste C, Riverside, CA 92507-3940 | 2014-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448917 | Rachel Nielson | Counselor | 1450 Spruce St, Suite A, Riverside, CA 92507 | 2020-08-24 |
| 1437769742 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 2862 Unit B Canyon Springs Parkway, Riverside, CA 92507 | 2020-08-03 |
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1164067567 | Audrey Gruen | Social Worker | Canyon Crest Mental Health, 5225 Canyon Crest Drive #100, Riverside, CA 92507 | 2019-11-10 |
| 1518432962 | Antonio Mixon | Specialist | 1405 Spruce Street, Suite A, Riverside, CA 92507 | 2018-10-11 |
| 1811479793 | New Day Counseling Services | Counselor | 20363 Harvard Way, Riverside, CA 92507 | 2018-09-06 |
| 1780176875 | Miriam Martinez | Case Manager/Care Coordinator | 2085 Rustin Ave., Riverside, CA 92507 | 2018-06-04 |
| 1518478874 | Lisa Manuel | Counselor | 2058 Rustin Ave, Riverside, CA 92507 | 2017-10-13 |
| 1497272942 | Yajaira Placensia | Behavioral Analyst | 1486 Everton Place, Riverside, CA 92507 | 2017-08-25 |
| 1841717691 | Stephanie Teuchert | Behavioral Analyst | 1080 Spruce Street Apartment 7c, Riverside, CA 92507 | 2017-08-23 |
| Find all providers in zip 92507 | ||||
| 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 |
|---|---|---|---|---|
| 1164067567 | Audrey Gruen | Social Worker | Canyon Crest Mental Health, 5225 Canyon Crest Drive #100, Riverside, CA 92507 | 2019-11-10 |
| 1992288005 | Erica Lynn Washington | Social Worker | 4164 Brockton Ave Ste 102, Riverside, CA 92501-3400 | 2018-09-13 |
| 1063934891 | Dawnita T. Flowers | Social Worker | 10077 Zinfandel Ln, Riverside, CA 92509-2531 | 2017-07-13 |
| 1487045274 | Susana Leticia Ruiz | Social Worker | 12746 Royal Palm Ln, Riverside, CA 92503-7077 | 2015-02-15 |
| 1386068229 | Jennifer Macias | Social Worker | 5063 Olivewood Ave, Riverside, CA 92506-1307 | 2014-02-12 |
| 1326207960 | Julie Naomi Siegel-turner | Social Worker | 18530 Mariposa Ave, Riverside, CA 92508-9616 | 2008-06-09 |
| 1801079538 | Barry Bernard Severe | Social Worker | 6370 Magnolia Ave Ste 200, Riverside, CA 92506-2406 | 2007-12-17 |
| 1720163595 | Adrienne Ann Jordan | Social Worker | 3075 Myers St, Riverside, CA 92503-5525 | 2006-10-27 |
| 1003928342 | Luis Carlos Lamadrid | Social Worker | 9707 Magnolia Ave, Riverside, CA 92503-3609 | 2006-08-31 |
| 1003892209 | Nair C Cardoso | Social Worker | 610 Wampanoag Trail, Riverside, RI 02915-1506 | 2005-12-20 |
| Find all providers in RIVERSIDE | ||||
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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.