KIMBERLY J HANSEN ANDERSON (NPI# 1669089868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669089868 |
| Entity Type | Individual |
| Full Name | KIMBERLY J HANSEN ANDERSON |
| Credential | ACSW |
| Practice Address |
12071 Tivoli Park Row Unit 2 San Diego CA 92128-4385 |
| Mailing Address |
Po Box 503552 San Diego CA 92150-3552 |
| Practice Telephone | 9496335068 |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2020-09-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | ASW75086 | CA | Behavioral Health & Social Service Providers |
| Street Address |
12071 TIVOLI PARK ROW UNIT 2 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92128-4385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585371 | Alicia Ford | Behavior Technician | 1170 Bernardo Plaza Court, Suite 350, San Diego, CA 92128 | 2020-07-08 |
| 1164087573 | Madeleine White | Dietitian, Registered | 16685 W Bernardo Dr, Suite 121, San Diego, CA 92128 | 2019-05-01 |
| 1053807677 | Joele Ghosn | Speech-Language Pathologist | 11838 Bernardo Plaza Ct #110, San Diego, CA 92128 | 2018-07-06 |
| 1376034348 | Eddie Reginald Burston II | In Home Supportive Care | 12727 Camino Emparrado, San Diego, CA 92128 | 2018-05-24 |
| 1336659218 | Ryan Fong | Physician Assistant | 15004 Innovation Drive (s97), San Diego, CA 92128 | 2017-10-05 |
| 1508316191 | Araceli Flores | Behavioral Analyst | 15737 Innovation Dr, Suite 200, San Diego, CA 92128 | 2016-10-07 |
| 1003283961 | Katherine Dishner | Hearing Instrument Specialist | 16766 Bernardo Center Dr Ste 206, San Diego, CA 92128 | 2015-08-27 |
| 1205212586 | Mobilia Dmd Inc. | Point of Service | 12405 Rancho Bernardo Rd., San Diego, CA 92128 | 2015-08-10 |
| 1346623634 | Angela Christine Storck-petersen | Dietitian, Registered | 11768 Caminito Corriente, San Diego, CA 92128 | 2015-07-04 |
| 1134526874 | Breeana Rose Lancaster | Speech-Language Pathologist | 11838 Bernardo Plaza Ct. Suite 110, Kids Therapy Associates, San Diego, CA 92128 | 2014-11-24 |
| Find all providers in zip 92128 | ||||
| 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 |
|---|---|---|---|---|
| 1184189532 | Barbara Arriaga | Social Worker | 591 Camino De La Reina Ste 810, San Diego, CA 92108-3150 | 2019-02-08 |
| 1942672126 | Gretchen Penner | Social Worker | 2121 5th Ave Ste 214, San Diego, CA 92101-2139 | 2015-10-27 |
| 1821465105 | Kimberly Brownell | Social Worker | 969 Market St, Suite 503, San Diego, CA 92101-7209 | 2015-08-21 |
| 1689059545 | Stephanie Suggs | Social Worker | 3789 1/2 3rd Ave, San Diego, CA 92103-4102 | 2015-07-21 |
| 1659751667 | Adrianne Domingo | Social Worker | 8345 Kern Cres, San Diego, CA 92127-4111 | 2015-06-04 |
| 1205245917 | Devon Boone | Social Worker | 3427 4th Ave Fl 2, San Diego, CA 92103-4910 | 2014-08-06 |
| 1215363957 | Ellen B. Crowley | Social Worker | 5500 Overland Ave, Suite 430, San Diego, CA 92123-1202 | 2013-09-25 |
| 1134475072 | Kerri Zuba Kelly | Social Worker | 5560 Overland Ave, San Diego, CA 92123-1204 | 2012-07-30 |
| 1821365578 | Lindsay Artemisia Almanza | Social Worker | 3930 4th Ave Ste 300, San Diego, CA 92103-3119 | 2011-11-23 |
| 1881971034 | Cheryl Ann Stigall | Social Worker | 6822 Fisk Ave, San Diego, CA 92122-2437 | 2011-11-15 |
| Find all providers in SAN DIEGO | ||||
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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.