JEREMY LEE MACE (NPI# 1750719480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750719480 |
| Entity Type | Individual |
| Full Name | JEREMY LEE MACE |
| Credential | CMSW |
| Practice Address |
475-750 Rice Canyon Road Susanville CA 96127 |
| Mailing Address |
S22w25519 Harris Highland Dr Waukesha WI 53188-4811 |
| Practice Telephone | 5302515100 |
| Mailing Telephone | 2622906529 |
| Enumeration Date | 2013-10-15 |
| Last Update Date | 2013-10-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
129074-121 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 3411849631 | 05 |
| Street Address |
475-750 RICE CANYON ROAD |
| City | SUSANVILLE |
| State | CA |
| Zip Code | 96127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437145125 | David Jotham Snell | Internal Medicine | 475-750 Rice Canyon Road, Medical Administration, Susanville, CA 96127 | 2005-09-27 |
| 1013543578 | Corrections and Rehabilitation | Pharmacy | 475-750 Rice Canyon Road, Susanville, CA 96127 | 2020-03-17 |
| 1780019786 | Pak Yan Ngai | Psychologist | 475-750 Rice Canyon Road, Susanville, CA 96130 | 2013-09-09 |
| 1649617267 | Cynthia N Zamora | Social Worker | 475-750 Rice Canyon Road, Susanville, CA 96130 | 2013-05-23 |
| 1669654109 | Clyde Edward Hopson | Dentist | 475-750 Rice Canyon Road, Hdsp, Susanville, CA 96130 | 2007-11-27 |
| 1043337157 | Floyd D Hansen | Dentist | 475-750 Rice Canyon Road, Susanville, CA 96130 | 2007-03-23 |
| 1174532493 | Dorothy E Swingle | Family Medicine | 475-750 Rice Canyon Road, High Desert State Prison, Susanville, CA 96127 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750706289 | Kenneth Templeton | Pharmacist | 475 Rice Canyon Road, Susanville, CA 96127 | 2014-02-20 |
| 1316361769 | James Day | Pharmacist | 711-045 Center Rd, Susanville, CA 96127 | 2014-02-05 |
| 1558601708 | Michael Julian Boretz | Social Worker | 475 750 Rice Canyon Road, Susanville, CA 96127 | 2013-02-26 |
| 1154745909 | Stephanie Ng | Pharmacist | 475-750 Rice Canyon Rd, Susanville, CA 96127 | 2014-02-14 |
| 1184917270 | Jeffrey William Rohlfing | Family Medicine | 475-750 Rice Canyon Rd., Susanville, CA 96127 | 2011-05-23 |
| 1023215779 | Olga Boican Roche | Family Medicine | 711-045 Center Road, Susanville, CA 96127-0003 | 2007-06-27 |
| 1164627410 | Glenn W James | Family Medicine | 475-750 Rice Canyon Road High Desert State Prison, Susanville, CA 96127-0750 | 2007-06-18 |
| 1477736148 | Darrell Joseph White | Dentist | 711-055 Center Rd, Susanville, CA 96127-0790 | 2007-12-17 |
| 1518592336 | Corrections and Rehabilitation | Pharmacy | 711-045 Center Road, Susanville, CA 96127-0790 | 2020-03-12 |
| 1851791610 | Cecilia Badger | Social Worker | 711-045 Center Rd., Susanville, CA 96127-0790 | 2014-08-29 |
| Find all providers in zip 96127 | ||||
| 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 |
|---|---|---|---|---|
| 1629433651 | Jesse Abshire | Social Worker | 155 Alexander Ave, Susanville, CA 96130-4505 | 2015-12-17 |
| 1639572027 | Janet Alicia Brown | Social Worker | 170 Russell Ave Ste D, Susanville, CA 96130-4271 | 2014-09-30 |
| 1558601708 | Michael Julian Boretz | Social Worker | 475 750 Rice Canyon Road, Susanville, CA 96127 | 2013-02-26 |
| 1942590765 | Gary Lloyd Olsen | Social Worker | 1816 First Street, Susanville, CA 96130-5110 | 2011-04-13 |
| 1356842223 | Melissa Huffman | Social Worker | 555 Hospital Ln, Susanville, CA 96130-4808 | 2018-02-26 |
| 1720488471 | Shawn Hensen | Social Worker | 475-750 Rice Canyon Rd, Susanville, CA 96130 | 2014-08-31 |
| 1851791610 | Cecilia Badger | Social Worker | 711-045 Center Rd., Susanville, CA 96127-0790 | 2014-08-29 |
| 1407193170 | Terri Kathleen O'bryan | Social Worker | 795 Joaquin St, Susanville, CA 96130-3628 | 2013-01-14 |
| 1518250240 | Debbie Ann Rives | Social Worker | 555 Hospital Ln, Susanville, CA 96130-4808 | 2011-05-27 |
| 1891908596 | Sara Louise Michels | Social Worker | 555 Hospital Lane, Susanville, CA 96130 | 2007-05-08 |
| Find all providers in SUSANVILLE | ||||
| City | SUSANVILLE |
| Zip Code | 96127 |
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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.