MISS MIYU ROSIE TANABE


Address: 2730 Torrey Pine Dr, Fullerton, CA 92835-2848
Phone: 7147267549

MISS MIYU ROSIE TANABE (NPI# 1790399061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790399061
Entity Type Individual
Full Name MISS MIYU ROSIE TANABE
Credential BSW
Practice Address 2730 Torrey Pine Dr
Fullerton
CA 92835-2848
Practice Telephone 7147267549
Mailing Telephone 7147267549
Enumeration Date 2020-09-03
Last Update Date 2020-09-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA DRIVERS LISCENCE Y2636026 01

Office Location

Street Address 2730 TORREY PINE DR
City FULLERTON
State CA
Zip Code 92835-2848

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538774302 Natalie Baugh Nutritionist 333 W Bastanchury Rd 110, Fullerton, CA 92835 2020-09-09
1073127098 Cecile Mae Sam Physical Therapist 2932 Clover Ct, Fullerton, CA 92835 2020-09-08
1861966087 Kimson F Johnston Marriage & Family Therapist 1370 Brea Blvd Suite 210, Fullerton, CA 92835 2019-01-22
1134636327 Michelle Harriman, Psychologist - A Professional Corporation Psychologist 1440 N Harbor Blvd Ste 808, Fullerton, CA 92835 2018-01-09
1659818631 Jacqueline Rene Miller Specialist/Technologist 2610 Associated Rd, Apt A4, Fullerton, CA 92835 2017-01-27
1912361106 John Nathaniel Alvarez Psychiatry & Neurology 401 E Imperial Highway, Fullerton, CA 92835 2016-04-13
1083075030 Advance Recovery Solution, LLC Substance Abuse Rehabilitation Facility 3744 N Hermosa Pl, Fullerton, CA 92835 2016-03-17
1467817981 Michele Ledesma Physical Therapy Assistant 2800 N. Harbor Blvd., Fullerton, CA 92835 2015-12-29
1467820571 Jonghan Kang Acupuncturist 1321 N Harbor Blvd Ste 205, Fullerton, CA 92835 2015-09-04
1265840987 Allison Leigh Kennedy Physician Assistant 100 Laguna Rd Ste 208, Fullerton, CA 92835 2014-07-25
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Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245873439 Juliet E Judge Social Worker 801 E. Chapman Ave. #203, Fullerton, CA 92831-3839 2019-10-21
1104481506 Jade Wilson Social Worker 906 E Commonwealth Ave, Fullerton, CA 92831-4518 2019-05-01
1831381490 Sandra Mary Hayden Social Worker 111 W Bastanchury Rd 1a, Fullerton, CA 92835-2527 2007-08-16
1164621272 Purvi Surendra Shahpatel Social Worker 1269 Mc Fadden Dr, Fullerton, CA 92833-5603 2007-07-18
1841364791 Sylvia Garcia Social Worker 2212 Victoria Dr, Fullerton, CA 92831-2136 2006-11-20
1306392576 Joseph G Marin Social Worker 401 E Imperial Hwy, Fullerton, CA 92835-1145 2016-08-28
1942681986 Aura Herrera Lopez Social Worker 801 E Chapman Ave, 203, Fullerton, CA 92831-3839 2015-06-16
1477958486 Michelle Menke Social Worker 211 W Commonwealth Ave, Fullerton, CA 92832-1810 2014-11-03
1861822736 Dulce Diaz Social Worker 801 E Chapman Ave, 203, Fullerton, CA 92831-3839 2013-11-13
1871926964 Jacqueline Huerta Social Worker 801 E Chapman Ave, 203, Fullerton, CA 92831-3839 2013-08-13
Find all providers in FULLERTON

Competitor

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City FULLERTON
Zip Code 92835

Improve Information

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Dataset Information

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.

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