MS. JENDAYI AISHA FORD (NPI# 1710184262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710184262 |
| Entity Type | Individual |
| Full Name | MS. JENDAYI AISHA FORD |
| Credential | MSW, LCSW |
| Practice Address |
236 Georgia St Suite 200 B Vallejo CA 94590-5991 |
| Mailing Address |
1114 Oregon St Berkeley CA 94702-2220 |
| Practice Telephone | 5105172290 |
| Mailing Telephone | 5108482690 |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2014-08-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
27913 | CA | Behavioral Health & Social Service Providers |
| Street Address |
236 GEORGIA ST SUITE 200 B |
| City | VALLEJO |
| State | CA |
| Zip Code | 94590-5991 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104987999 | Konjit Abere Gomes | Counselor | 236 Georgia St, # 101, Vallejo, CA 94590-5991 | 2006-12-13 |
| 1992274708 | Gail Royster | Counselor | 236 Georgia St, Vallejo, CA 94590 | 2018-11-21 |
| 1326520610 | Kimberley Frerking Ramos | Behavior Technician | 236 Georgia St, Vallejo, CA 94590-5991 | 2018-09-04 |
| 1912485566 | Briana K Camara | Behavior Technician | 236 Georgia St, Vallejo, CA 94590-5991 | 2018-08-04 |
| 1275076978 | Pamela Ann Wentzel | Assistant Behavior Analyst | 236 Georgia St, Suite 102, Vallejo, CA 94590-5991 | 2016-11-29 |
| 1457894750 | Kayla Krausmann | Behavior Technician | 236 Georgia St, Suite 102, Vallejo, CA 94590-5991 | 2016-11-18 |
| 1033661186 | Maranda Leszkiewicz | Behavioral Analyst | 236 Georgia St, 102, Vallejo, CA 94590-5991 | 2016-10-25 |
| 1750839015 | Child Have,n Inc | Community/Behavioral Health | 236 Georgia St, Ste 202, Vallejo, CA 94590-5991 | 2016-09-15 |
| 1679929772 | Donna Mcfarland | Counselor | 236 Georgia St, Suite 101, Vallejo, CA 94590-5991 | 2016-05-06 |
| 1649634650 | Sara Michelle Martinez | Counselor | 236 Georgia St, Suite 101, Vallejo, CA 94590-5991 | 2016-04-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265051445 | Jaspreet Bains | Licensed Vocational Nurse | 508 Alabama Street, Vallejo, CA 94590 | 2020-04-08 |
| 1467097527 | Deneane Hannon | Behavioral Analyst | 238 Georgia St. Ste 102, Vallejo, CA 94590 | 2019-11-13 |
| 1780243196 | Abla Harara Almoraissi | Health Educator | John F. Kennedy Library, 505 Santa Clara St, Vallejo, CA 94590 | 2019-06-10 |
| 1891264461 | Brian Emory Kellogg | Marriage & Family Therapist | 525 Oregon St., Php/iop, Vallejo, CA 94590 | 2018-11-13 |
| 1952801862 | Carica Theresa Saraza Macariola | Specialist/Technologist | 1007 Solano Avenue, Vallejo, CA 94590 | 2018-02-16 |
| 1770007973 | Deborah A Johnson-white | Licensed Vocational Nurse | 908 Tuolumne, Vallejo, CA 94590 | 2017-07-29 |
| 1306378260 | Edgar Diaz | Counselor | 236 Georgia Street Suite 101, Vallejo, CA 94590 | 2017-03-30 |
| 1528440096 | Soren Perry | Counselor | 236 Georgia St., Vallejo, CA 94590 | 2015-06-22 |
| 1518366327 | Kimberly A Holland | Counselor | 631 Tennessee Street Suite 201, Vallejo, CA 94590 | 2014-08-18 |
| 1841605193 | Lawana Lofton | Psychologist | 88 Valle Vista Drive, Unit 6310, Vallejo, CA 94590 | 2014-06-25 |
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| 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 |
|---|---|---|---|---|
| 1043819410 | Constance Melinda Cook | Social Worker | 2943 Carlingford Ln, Vallejo, CA 94591-3812 | 2020-10-18 |
| 1649886540 | Frankie Marie Morris-dadzie | Social Worker | 700 Sheridan St, Vallejo, CA 94590-7739 | 2020-09-17 |
| 1437768405 | Chelsea Alexandra Mcgowan | Social Worker | 1115 Shasta St, Vallejo, CA 94590-3558 | 2020-07-27 |
| 1871021360 | Brandi Ayanna Lockhart | Social Worker | 1310 Tennessee St Ste A, Vallejo, CA 94590-4625 | 2017-05-26 |
| 1972939676 | Jane Vanderwerf | Social Worker | 631 Tennessee St Ste 201, Vallejo, CA 94590-4432 | 2013-09-25 |
| 1083901888 | Anabel Torres Cramton | Social Worker | 428 Corcoran Ave Apt 3, Vallejo, CA 94589-1757 | 2011-06-30 |
| 1871820068 | Barbara Jean A. Douglass | Social Worker | 305 Lighthouse Dr, Vallejo, CA 94590 | 2009-11-09 |
| 1134369879 | April Lashon Bolin | Social Worker | 1027 Shasta St, Vallejo, CA 94590-3923 | 2009-02-20 |
| 1861651556 | Diane Marie Taron Davis | Social Worker | 1 St Johns Mine Road, Vallejo, CA 94591 | 2008-06-06 |
| 1104001510 | Tish Leiona Silva | Social Worker | 508 Alabama St, Vallejo, CA 94590-4446 | 2008-01-03 |
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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.