JAIDEV MADGULKAR


Address: 12625 Hesperia Rd, Victorville, CA 92395-7720
Phone: 7609551777

JAIDEV MADGULKAR (NPI# 1679663181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679663181
Entity Type Individual
Full Name JAIDEV MADGULKAR
Credential LCSW
Practice Address 12625 Hesperia Rd
Victorville
CA 92395-7720
Practice Telephone 7609551777
Practice Fax Number 7609552356
Mailing Telephone 7609551777
Mailing Fax Number 7609552356
Enumeration Date 2006-10-13
Last Update Date 2013-05-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
LCS16148 CA Behavioral Health & Social Service Providers

Office Location

Street Address 12625 HESPERIA RD
City VICTORVILLE
State CA
Zip Code 92395-7720

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336765007 Holly Marie Croteau Registered Nurse 12625 Hesperia Rd, Victorville, CA 92395-7720 2020-06-18
1033735881 Tess Mcclellan Peer Specialist 12625 Hesperia Rd, Victorville, CA 92395-7720 2020-06-17
1588287536 Sandra Martinez Case Manager/Care Coordinator 12625 Hesperia Rd, Victorville, CA 92395-7720 2020-05-26
1235764739 Deborah Courtney-taylor Case Manager/Care Coordinator 12625 Hesperia Rd, Victorville, CA 92395-7720 2020-03-05
1205461951 Rose Arcelia Rosas Counselor 12625 Hesperia Rd, Victorville, CA 92395-7720 2020-03-03
1083250690 Tonii Marie Cardoza Case Manager/Care Coordinator 12625 Hesperia Rd, Victorville, CA 92395-7720 2019-11-19
1558918680 Jennifer Greeno Counselor 12625 Hesperia Rd, Victorville, CA 92395-7720 2019-08-22
1972072387 Sarah Sue Originales Licensed Vocational Nurse 12625 Hesperia Rd, Victorville, CA 92395-7720 2018-11-14
1104305879 Sarah Ann Marroquin Registered Nurse 12625 Hesperia Rd, Victorville, CA 92395 2018-08-13
1487174595 Sarah Elizabeth Moses Licensed Vocational Nurse 12625 Hesperia Rd, Victor Valley Behavioral Health Center, Victorville, CA 92395 2017-06-21
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043837966 Desert Ridge Transitional Care Center, Lp Skilled Nursing Facility 13300 11th Avenue, Victorville, CA 92395 2020-06-26
1376179093 Catherine Ward Speech-Language Pathologist 13275 Mauka Ct, Victorville, CA 92395 2020-03-13
1174019228 Laura Mercado Halterman Family Medicine 16519 Victor St Ste 307, Victorville, CA 92395 2018-07-02
1306337829 Stephanie Ann Kruger Behavior Technician Sunny Days Inc 3602 Inland Empire Blvd., Ontario, CA 92395 2018-05-21
1861903924 Debra L Andersen Clinic/Center 12830 Hesperia Road, Suite C, D, E, Victorville, CALIFORNIA 92395 2017-10-17
1790202141 Joshua Powers Physician Assistant 12550 Hesperia Rd Ste 101, Victorville, CA 92395 2017-08-26
1043759491 Kemp Individual & Family Therapy, Inc. Marriage & Family Therapist 14075 Hesperia Road, Suite 101, Victorville, CA 92395 2017-02-17
1740725969 Abem Transportation Inc Non-emergency Medical Transport (VAN) 15000 7th St Ste F208, Victorville, CA 92395 2016-12-23
1447669379 Tracie Girard Nurse Practitioner 17330 Bear Valley Road, Suite A106, Victorville, CA 92395 2014-08-05
1093153215 Mitesh Patel Surgery 13010 Hesperia Rd Ste 400, Victorville, CA 92395 2013-06-10
Find all providers in zip 92395

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457782484 Susan Savella Cole Social Worker 15633 11th Street, Victorville, CA 92395-9998 2013-12-02
1912259540 Omar J Vega Social Worker 12383 Luna Road, Victorville, CA 92392 2012-10-05
1386976595 Cynthia Lee Gaines Social Worker 13035 Wrangler Ln, Victorville, CA 92392-6346 2010-02-12
1013248608 Christopher Lee Fadness Social Worker 15095 Amargosa Rd Ste 107, Victorville, CA 92394-1868 2010-01-20
1578898854 Clarissa Rico Samiley Social Worker 13664 Ruby Cir, Victorville, CA 92392-9029 2009-10-05
1477729127 Tammy Lynn Hunt Social Worker 14021 Amargosa Rd Ste 100, Victorville, CA 92392-6404 2008-05-02
1609040997 Kimberly Ann Moret Social Worker 15437 Anacapa Rd Ste 3, Victorville, CA 92392-2458 2008-04-17
1114138252 Lynn Nickens Social Worker 14270 Seventh St, Suite 3, Victorville, CA 92395-4203 2007-05-24
1730208927 Daisy Ann Ukonu Social Worker 14252 St Andrews Drive, Suite #5, Victorville, CA 92394 2007-03-28
1629090592 Jeanne Patricia Newcomer Social Worker 15447 Anacapa Rd, Suite 200, Victorville, CA 92392-2481 2006-07-23
Find all providers in VICTORVILLE

Competitor

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City VICTORVILLE
Zip Code 92395

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Dataset Information

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.

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