CHRIS AND GLORIAS SPACE LLC (NPI# 1689287948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689287948 |
| Entity Type | Organization |
| Organization Name | CHRIS AND GLORIAS SPACE LLC |
| Practice Address |
1055 E Colorado Blvd Ste 5198 Pasadena CA 91106-2327 |
| Mailing Address |
13627 Sherman Way Apt 107 Van Nuys CA 91405-2803 |
| Practice Telephone | 8188183617 |
| Mailing Telephone | 8188183617 |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-08-26 |
| Authorized Official Name | CHRISTOPHER RUFFIN (PRESIDENT) |
| Authorized Official Telephone | 8188183617 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
1055 E COLORADO BLVD STE 5198 |
| City | PASADENA |
| State | CA |
| Zip Code | 91106-2327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625987 | Alexa Ann Mettrick | Behavior Technician | 1055 E. Colorado Blcd., Suite 560, Pasadena, CA 91106 | 2020-06-25 |
| 1780205344 | Giovani Telusma | Behavior Technician | 1055 E Colorado Blvd Ste 560 Pasadena, Pasadena, CT 91106 | 2020-05-05 |
| 1356838973 | Susan Ende | Marriage & Family Therapist | 945 Hillcrest Place, Pasadena, CA 91106 | 2018-04-19 |
| 1639678287 | Sean C Velazco | Counselor | 1245 E. Walnut St., Pasadena, CA 91106 | 2018-02-09 |
| 1023558848 | Gregory Ohanian Dds Ms Inc. | Dentist | 225 North Allen Avenue, Pasadena, CA 91106 | 2017-02-27 |
| 1508308586 | Quik Care Express Inc | Non-emergency Medical Transport (VAN) | 592 N. Wilson Ave, 5, Pasadena, CA 91106 | 2016-11-08 |
| 1194119867 | Kimberly Ann Ebner | Dentist | 1060 E. Green St., Suite 105, Pasadena, CA 91106 | 2015-03-20 |
| 1346645512 | Neogenomics Laboratories Inc | Specialist | 840 Cameron Dr, Pasadena, CA 91106 | 2014-10-29 |
| 1255756524 | Tirso Deljunco Sr. | Surgery | 1010 E. Union St., #130, Pasadena, CA 91106 | 2014-02-24 |
| 1386072601 | Hiroko Ogura | Acupuncturist | 1224 E Green St Ste 100, Pasadena, CA 91106 | 2013-10-23 |
| Find all providers in zip 91106 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524362 | Abigail Resendiz-zuniga | Social Worker | 459 E Colorado Blvd, Pasadena, CA 91101-2024 | 2020-09-29 |
| 1306458260 | Jennifer C Kerr | Social Worker | 1417 N Mentor Ave, Pasadena, CA 91104-2427 | 2020-08-20 |
| 1427518893 | Maricel Veluz | Social Worker | 595 E Colorado Blvd Ste 612b, Pasadena, CA 91101-2015 | 2019-03-22 |
| 1770041436 | Leticia C Lara | Social Worker | 236 W Mountain St Ste 201, Pasadena, CA 91103-2969 | 2019-03-12 |
| 1861966897 | Cynthia Clark Hunter | Social Worker | 130 S Euclid Ave Ste 3, Pasadena, CA 91101-2471 | 2019-01-12 |
| 1295202422 | Stephanie Rose Van | Social Worker | 440 S Marengo Ave, Pasadena, CA 91101-3113 | 2018-10-25 |
| 1932681723 | Tracey Bush | Social Worker | 393 E Walnut St Fl 64w196, Pasadena, CA 91188-0001 | 2018-08-29 |
| 1548759269 | Katrin Lynn Koutassevitch | Social Worker | 200 E Del Mar Blvd Ste 119a, Pasadena, CA 91105-2551 | 2018-05-08 |
| 1063919751 | Paris Silva | Social Worker | 1165 E Claremont St, Pasadena, CA 91104-2906 | 2018-04-09 |
| 1043715949 | Marilyn Rivas | Social Worker | 86 Orange Pl, Pasadena, CA 91105-2000 | 2018-03-24 |
| Find all providers in PASADENA | ||||
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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.