MS. PATTI A BENNETT-DEGUZMAN (NPI# 1801015227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801015227 |
| Entity Type | Individual |
| Full Name | MS. PATTI A BENNETT-DEGUZMAN |
| Credential | LCSW |
| Practice Address |
11515 El Camino Real Suite 160 San Diego CA 92130-3038 |
| Practice Telephone | 6198385989 |
| Practice Fax Number | 8583560412 |
| Mailing Telephone | 6198385989 |
| Mailing Fax Number | 8583560412 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
17493 | CA | Behavioral Health & Social Service Providers |
| Street Address |
11515 EL CAMINO REAL SUITE 160 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92130-3038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669579850 | Kaydee Bork | Physician Assistant | 11515 El Camino Real, Suit 150, San Diego, CA 92130 | 2006-09-20 |
| 1427453182 | Barbara Hitomi Tanaka | Nurse Practitioner | 11515 El Camino Real, Suite 100, San Diego, CA 92130-3038 | 2014-10-23 |
| 1730582826 | Megan Bendinelli | Nurse Practitioner | 11515 El Camino Real, Suite 100, San Diego, CA 92130-3038 | 2014-10-02 |
| 1205163722 | Acupuncture Fertility Center, Inc. | Clinic/Center | 11515 El Camino Real, Suite 150, San Diego, CA 92130-3038 | 2009-11-04 |
| 1316180920 | Jeneanne Paden, L.ac. | Acupuncturist | 11515 El Camino Real, Ste 160, San Diego, CA 92130-3038 | 2009-04-13 |
| 1184892002 | L. Michael Kettel | Obstetrics & Gynecology | 11515 El Camino Real, Suite 100, San Diego, CA 92130-3038 | 2008-02-13 |
| 1962670893 | William P. Hummel | Obstetrics & Gynecology | 11515 El Camino Real, Suite 100, San Diego, CA 92130-3038 | 2008-02-13 |
| 1447434055 | Renee Marni Walker | Acupuncturist | 11515 El Camino Real, Suite 160, San Diego, CA 92130-3038 | 2007-12-19 |
| 1528140928 | Susanna Jung-a Park | Specialist | 11515 El Camino Real, Suite 100, San Diego, CA 92130-2045 | 2006-10-19 |
| 1417037680 | Gilbert Wesley Lee | Surgery | 11515 El Camino Real, Suite 150, San Diego, CA 92130 | 2006-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629692397 | Tlc Family Therapy | Marriage & Family Therapist | 5965 Village Way. Suite 105 #112, San Diego, CA 92130 | 2020-05-29 |
| 1447746169 | Jack Perlov | Psychiatry & Neurology | 3535 Caminito El Rincon, Unit 268, San Diego, CA 92130 | 2018-07-05 |
| 1326551003 | Theotokos, LLC | Pharmacy | 5550 Carmel Mountain Rd Ste 111, San Diego, CA 92130 | 2017-11-16 |
| 1154879146 | Halie Hommes | Occupational Therapist | 12250 El Camino Real Ste 250, San Diego, CA 92130 | 2016-09-19 |
| 1790232015 | Coastal Skin and Eye Institute, Inc. | Ophthalmology | 5550 Carmel Mountain Road, Suite 206, San Diego, CA 92130 | 2016-09-02 |
| 1720534951 | Nosti and Rygg Dental Corporation | Dentist | 5550 Carmel Mountain Road, Ste 200, San Diego, CA 92130 | 2016-08-28 |
| 1831644053 | Marco Savittieri | Dentist | 3715 Ruette De Vl, San Diego, CA 92130 | 2016-08-17 |
| 1336508621 | Discovery Practice Management, Inc | Psychiatric Residential Treatment Facility | 11455 Camino Real, Ste 360, San Diego, CA 92130 | 2016-02-16 |
| 1427434679 | Coast Pediatrics Carmel Valley | Pediatrics | 5965 Village Drive, Suite 201, San Diego, CA 92130 | 2015-08-10 |
| 1659753762 | T Sidal Dds Md Inc | Dentist | 12395 El Camino Real, Suite 304, Torrey Pines Oral & Maxillofacial Surgery, San Diego, CA 92130 | 2015-06-25 |
| Find all providers in zip 92130 | ||||
| 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 |
|---|---|---|---|---|
| 1154920536 | Gillian Boyd | Social Worker | 3147 Eel Alley Building 271, Room 106, San Diego, CA 92136-0001 | 2020-10-18 |
| 1194338087 | Courage Over Comfort Counseling Licensed Clinical Social Worker PC | Social Worker | 4283 El Cajon Blvd Ste 226, San Diego, CA 92105-1289 | 2020-08-28 |
| 1619580057 | Joseph Stephen Mcconico | Social Worker | 5274 Mount Alifan Dr, San Diego, CA 92111-2621 | 2020-08-25 |
| 1821600529 | David James Prince | Social Worker | 1498 13th Street Bldg 184, San Diego, CA 98132 | 2020-08-24 |
| 1407467392 | Tyler Drew Willis | Social Worker | 4665 Voltaire St, San Diego, CA 92107-1762 | 2020-08-13 |
| 1174132575 | Sarah Greenstein | Social Worker | 11860 Carmel Creek Rd, San Diego, CA 92130-2474 | 2020-07-31 |
| 1730798190 | Joelle G Johnson | Social Worker | 4904 Mansfield St, San Diego, CA 92116-1936 | 2020-07-30 |
| 1881203503 | Micheaela Whaley | Social Worker | 4417 30th St Ste 112, San Diego, CA 92116-4284 | 2020-07-28 |
| 1033737812 | Clara Loginov | Social Worker | 6727 Mohawk St, San Diego, CA 92115-1642 | 2020-07-08 |
| 1780208553 | Ai-nhat Ngo | Social Worker | 9360 Activity Rd Ste B, San Diego, CA 92126-4410 | 2020-06-07 |
| Find all providers in SAN DIEGO | ||||
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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.