MRS. STEPHANIE CATHERINE VIDAURRI (NPI# 1790121176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790121176 |
| Entity Type | Individual |
| Full Name | MRS. STEPHANIE CATHERINE VIDAURRI |
| Credential | LCSW |
| Practice Address |
498 Chalan Palosyo Guam Va Cboc Agana Heights GU 96910-6427 |
| Mailing Address |
8 Anae Ln Santa Rita GU 96915-1433 |
| Practice Telephone | 6714755800 |
| Mailing Telephone | 6715641789 |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2013-05-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW 3734 | HI | Behavioral Health & Social Service Providers |
| Street Address |
498 CHALAN PALOSYO GUAM VA CBOC |
| City | AGANA HEIGHTS |
| State | GU |
| Zip Code | 96910-6427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700826401 | Honolulu Vamc | Clinic/Center | 498 Chalan Palosyo, Agana Heights, GU 96910-6427 | 2006-06-08 |
| 1346853926 | Janay Elizabeth Green | Social Worker | 498 Chalan Palosyo, Agana Heights, GU 96910-6427 | 2020-08-25 |
| 1922623636 | Valerie Jean Cruz Mansapit | Counselor | 498 Chalan Palosyo, Agana Heights, GU 96910-6427 | 2020-06-09 |
| 1982246922 | Jessika Garcia Dayrit | Behavioral Analyst | 498 Chalan Palosyo, Agana Heights, GU 96910-6427 | 2019-10-10 |
| 1689010084 | Mario Fernando Pereyra | Occupational Therapist | 498 Chalan Palosyo, Agana Heights, GU 96910-6427 | 2013-05-13 |
| 1114225299 | Kenna K Trenkamp | Social Worker | 498 Chalan Palosyo, Agana Heights, GU 96910-6427 | 2011-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518576230 | Bo Henry Marshall | Physician Assistant | 302 S Route 4 Ste 207, Hagatna, GU 96910 | 2020-07-28 |
| 1972133361 | Elizabeth Quilitis Camacho | Licensed Practical Nurse | 127 2nd St Ocean Vista Tiyan, Maite, GU 96910 | 2020-01-24 |
| 1588200497 | Carrie Margeson | Pharmacist | Bldg #50 Farenholt Ave, Tutuhan, GU 96910 | 2019-11-26 |
| 1265075188 | Amy C Romero | Counselor | 144 Afia Building Suite 201, Hagatna, GU 96910 | 2019-10-23 |
| 1710549589 | Carmela Santos | Registered Nurse | Bldg #50, Farenholt Ave, Tutuhan, GU 96910 | 2019-07-02 |
| 1912469404 | Daniel A. Duenas | Social Worker | 222 Chalan Santo Papa Reflection Center, Hagatna, GU 96910 | 2019-04-03 |
| 1598238891 | Steven Butler | Counselor | 144 Aspinal Ave., Afia Bld. Suite 202, Hagatna, GU 96910 | 2019-01-09 |
| 1790275675 | Evangeline Claassens | Nurse Practitioner | 736 South Route 4, Suite 103, Sinajana, GU 96910 | 2018-05-16 |
| 1356839575 | Evergreen Health Center LLC | Clinic/Center | 520 Route 8, Maite, GU 96910 | 2018-04-23 |
| 1902312382 | Sarah Burton | Pharmacist | Building 50 Farenholt Blvd, Agana Heights, GU 96910 | 2017-12-20 |
| Find all providers in zip 96910 | ||||
| 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 |
|---|---|---|---|---|
| 1952722019 | Selena Coumanis Cox | Social Worker | 498 Chalan Palasyo, Agana Heights, GU 96910-6427 | 2013-12-16 |
| 1417226291 | Norma Consuelo Quichiz-judd | Social Worker | Bldg 1 Farenholt Avenue, Agana Heights, GU 96910 | 2011-12-22 |
| 1194795278 | Rosita Aguilo Mahony | Social Worker | Farenholt Street, Building K-1, Agana Heights, GU 96919 | 2006-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912469404 | Daniel A. Duenas | Social Worker | 222 Chalan Santo Papa Reflection Center, Hagatna, GU 96910 | 2019-04-03 |
| 1043754682 | Sergio Bonilla | Social Worker | 50 Farenholt St., Bldg., Hagatna, GU 96910 | 2016-12-16 |
| 1508241126 | Joseph Rhodes | Social Worker | 241 Condo Ln, Tamuning, GU 96913-3150 | 2015-07-24 |
| 1023421351 | Annie Unpingco | Social Worker | 215 Chalan Santo Papa St., Suite 107 F, Hagatna, GU 96910 | 2014-06-04 |
| 1205139714 | Mary Fegurgur | Social Worker | 426 Chalan San Antonio Ste 104, Tamuning, GU 96913-3631 | 2010-12-06 |
| 1689872129 | Lisalinda Salas Natividad | Social Worker | 222 E Chalan Santo Papa Ste 102, Reflection Center, Hagatna, GU 96910-5172 | 2007-07-05 |
| City | AGANA HEIGHTS |
| Zip Code | 96910 |
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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.