BENJAMIN FOWLER (NPI# 1801156567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801156567 |
| Entity Type | Individual |
| Full Name | BENJAMIN FOWLER |
| Practice Address |
4616 Roosevelt Ave Sacramento CA 95820 |
| Mailing Address |
18225 Hale Ave Morgan Hill CA 95037-3547 |
| Practice Telephone | 9164573129 |
| Mailing Telephone | 4084658280 |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2019-09-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW76696 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 24321 County Road 96, Davis, CA 95616 | 5307531653 | |
| 3780 Rosin Ct Ste 110, Sacramento, CA 958341698 | 9166685252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922621101 | Benjamin Luke Fowler | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave., Bldg 340, Ste 101 & 201, Ventura, CA 93003 | 2020-05-22 |
| 1336799915 | Benjamin Alan West Fowler | Behavioral Analyst | 4746 11th Ave Ne Ste 102, Seattle, WA 98105-4660 | 2019-09-16 |
| 1508397050 | Benjamin Fowler | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2017-03-27 |
| Street Address |
4616 ROOSEVELT AVE |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235268616 | Ann Nneka Ozobiani | Counselor | 4616 Roosevelt Ave, Sacramento, CA 95820-4520 | 2007-03-03 |
| 1023511318 | Psynergy Programs Inc. | Social Worker | 4616 Roosevelt Ave, Sacramento, CA 95820-4520 | 2018-03-13 |
| 1326592395 | Alan Robert Rikala | Counselor | 4616 Roosevelt Ave, Sacramento, CA 95820-4520 | 2016-08-08 |
| 1710390349 | Briana O'daniel | Counselor | 4616 Roosevelt Ave, Sacramento, CA 95820-4520 | 2014-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676820 | Laraine K Koen | Student in an Organized Health Care Education/Training Program | 123 Brookshire Lane, Sacramento, CA 95820 | 2020-10-12 |
| 1730737727 | Vincent Tang | Student in an Organized Health Care Education/Training Program | 3230 Sher Court, Sacramento, CA 95820 | 2019-09-03 |
| 1871159897 | Lauren Smith | Student in an Organized Health Care Education/Training Program | Department of Pediatrics Uc Davis Children's Hospital, 3671 Business Dr. Suite #110, Sacramento, CA 95820 | 2019-05-15 |
| 1053899336 | Melissa Anne Jeffery | Community Health Worker | 4600 Broadway Suite 1300, Sacramento, CA 95820 | 2018-07-30 |
| 1841785284 | Chelsea Kirstin Acker | Student in an Organized Health Care Education/Training Program | 3671 Business Dr., Sacramento, CA 95820 | 2018-06-28 |
| 1770022667 | Shelly Valdez | Behavior Technician | 5520 Priscilla Ln, Sacramento, CA 95820 | 2017-02-13 |
| 1285184135 | Trang Thu Tran | Registered Nurse | 5385 Franklin Blvd Ste A-d, Sacramento, CA 95820 | 2016-10-04 |
| 1356716039 | Nicole Hisaka | Psychologist | 3651 Business Dr, Sacramento, CA 95820 | 2015-12-07 |
| 1538542469 | Universal Med Express, LLC | Non-emergency Medical Transport (VAN) | 3230 27th Ave, Sacramento, CA 95820 | 2015-07-09 |
| 1033507470 | Moua Yang | Case Manager/Care Coordinator | 7373 14th Ave, Suite 120-b, Sacramento, CA 95820 | 2015-01-08 |
| Find all providers in zip 95820 | ||||
| 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 |
|---|---|---|---|---|
| 1053928606 | Nor Cal Trauma Healing Center | Social Worker | 6 Godello Ct, Sacramento, CA 95833-4400 | 2020-09-28 |
| 1023623980 | Heather Woodford | Social Worker | 3101 I St # 203, Sacramento, CA 95816-4421 | 2020-09-08 |
| 1629686670 | Kelvin Baker | Social Worker | 5511 C St, Sacramento, CA 95819-2329 | 2020-07-16 |
| 1033737192 | Kama Brockmann | Social Worker | 2565 14th St, Sacramento, CA 95818-2242 | 2020-07-06 |
| 1972120780 | Lavonne Ricks | Social Worker | 249 Delta Leaf Way, Sacramento, CA 95838-1869 | 2020-06-26 |
| 1366075111 | Michael Swauger | Social Worker | 3240 Arden Way Ste 105, Sacramento, CA 95825-2015 | 2020-02-20 |
| 1427697374 | Anthony Barnes | Social Worker | 2008 Morse Avenue, Commons Building, Sacramento, CA 95825 | 2019-12-24 |
| 1528604527 | Michael Avriette | Social Worker | 2830 27th St, Sacramento, CA 95818-3222 | 2019-11-25 |
| 1649826504 | Psynergy Programs, Inc. | Social Worker | 9951 Horn Rd Ste B, Sacramento, CA 95827-1955 | 2019-08-15 |
| 1669025219 | Elizabeth E. Wetzel | Social Worker | 1720 Capitol Ave Ste 201, Sacramento, CA 95811-5187 | 2019-07-23 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95820 |
Please comment or provide details below to improve the information on BENJAMIN FOWLER.
| 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.