KATHLEEN BANIWAS (NPI# 1710339650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710339650 |
| Entity Type | Individual |
| Full Name | KATHLEEN BANIWAS |
| Credential | LMFT |
| Practice Address |
3605 Vista Way Ste 130 Oceanside CA 92056-4565 |
| Practice Telephone | 7605471010 |
| Mailing Telephone | 7605471010 |
| Enumeration Date | 2016-07-04 |
| Last Update Date | 2019-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
107813 | CA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | IMF89556 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL | 95-2633765 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15305 Rayen St, North Hills, CA 913435117 | 8188923423 | 8188934509 |
| 17701 San Pasqual Valley Rd, Escondido, CA 920255301 | 7602336000 |
| Street Address |
3605 VISTA WAY STE 130 |
| City | OCEANSIDE |
| State | CA |
| Zip Code | 92056-4565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912310020 | Erin Ramirez | Pediatrics | 3605 Vista Way Ste 130, Oceanside, CA 92056-4565 | 2014-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174148639 | Universal Health Net San Diego | Hospice Care, Community Based | 4155 Oceanside Blvd, Suite 240, Oceanside, CA 92056 | 2020-06-10 |
| 1750913216 | Jared Pomerenke | Counselor | 3923 Warning Rd., Suite D, Oceanside, CA 92056 | 2020-02-12 |
| 1700424728 | Donna Jean Trapolino | Dental Hygienist | Bldg414006 Nelson Rd, Camp Pendleton, CA 92056 | 2019-12-20 |
| 1679122717 | David King Ping | Registered Nurse | 3609 Ocean Ranch Blvd Street 104, Oceanside, CA 92056 | 2019-09-11 |
| 1396254058 | Alison Schurman | Nurse Practitioner | 200 Mercy Circle Dr, Department of Pediatrics, Oceanside, CA 92056 | 2017-09-26 |
| 1407212665 | Yolanda Orozco Gaeta | Marriage & Family Therapist | 3923 Waring Road Ste D, North Coastal Treatment Recovery Center, Oceanside, CA 92056 | 2016-01-04 |
| 1871982751 | Wael Wassef | Pharmacist | 4755 Oceanside Blvd Ste 130, Oceanside, CA 92056 | 2015-01-15 |
| 1639501869 | William Stacy Parks | Family Medicine | 2376 Back Nine St., Oceanside, CA 92056 | 2013-07-30 |
| 1760725766 | Great Expectations Services Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4825 Glenhaven Drive, Oceanside, CA 92056 | 2013-03-28 |
| 1649533993 | Justin Bowles | Family Medicine | 1761 Avenida Segovia, Oceanside, CA 92056 | 2012-06-21 |
| Find all providers in zip 92056 | ||||
| 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 |
|---|---|---|---|---|
| 1457994915 | Victoria Roque Mensalvas | Social Worker | 4995 Corte Santico, Oceanside, CA 92056-6960 | 2019-10-28 |
| 1801450861 | Joseph Albino Adipietro | Social Worker | 2787 Long Beach Rd, Oceanside, NY 11572-2218 | 2019-04-25 |
| 1124589882 | Sora Brazil | Social Worker | 403 Golf Dr, Oceanside, NY 11572-5636 | 2019-03-26 |
| 1255805040 | Margaret C Odonnell | Social Worker | 73 Howard Pl, Oceanside, NY 11572-1314 | 2019-01-15 |
| 1568973964 | Rene' Marie Arlinghaus | Social Worker | 261 Stage Coach Rd, Oceanside, CA 92057-7001 | 2017-10-12 |
| 1861918351 | Amy Curcio | Social Worker | 3051 Fortesque Ave, Oceanside, NY 11572-3443 | 2017-08-17 |
| 1851811020 | Samantha Stermon | Social Worker | 1701 Mission Ave Ste 210, Oceanside, CA 92058-7110 | 2017-06-20 |
| 1780112326 | Jolene Slansky Boden | Social Worker | 193 Vermont Ave, Oceanside, NY 11572-5033 | 2017-05-26 |
| 1851823975 | Barbara Herrmann | Social Worker | 619 Derby Dr E, Oceanside, NY 11572-2611 | 2017-03-29 |
| 1053779298 | Jody E Sciortino | Social Worker | 2204 S El Camino Real Ste 305, Oceanside, CA 92054-6306 | 2016-02-02 |
| Find all providers in OCEANSIDE | ||||
Please comment or provide details below to improve the information on KATHLEEN BANIWAS.
| 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.