PENNY BLAZEJ LICENSED CLINICAL SOCIAL WORKER PROF CORP (NPI# 1821279043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821279043 |
| Entity Type | Organization |
| Organization Name | PENNY BLAZEJ LICENSED CLINICAL SOCIAL WORKER PROF CORP |
| Practice Address |
28714 Valley Center Road Suite E Valley Center CA 92082 |
| Practice Telephone | 7606853403 |
| Practice Fax Number | 7607518650 |
| Mailing Telephone | 7606853403 |
| Mailing Fax Number | 7607518650 |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2007-11-15 |
| Authorized Official Name | MRS. PENNY ANNETTE BLAZEJ (OWNER) |
| Authorized Official Telephone | 7606853403 |
| Authorized Official Credential | LCSW BCD |
| Is Organization Subpart | Y |
| Parent Organization Name | PENNY BLAZEJ LICENSED CLINICAL SOCIAL WORKER PROF CORP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
21570 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD | LC5215700 | 01 |
| Street Address |
28714 VALLEY CENTER ROAD SUITE E |
| City | VALLEY CENTER |
| State | CA |
| Zip Code | 92082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851757322 | Janet Angel Nelson | Counselor | 50100 Golsh Rd., Valley Center, CA 92082 | 2016-01-13 |
| 1255476867 | Robert Glenn Vertrees | Chiropractor | 27940 Valley Center Road, Valley Center, CA 92082 | 2007-02-21 |
| 1548317100 | Valley Center-pauma Unified School District | Local Education Agency (LEA) | 28751 Cole Grade Rd., Valley Center, CA 92082 | 2007-01-05 |
| 1023191137 | John Ernest Geis | Dentist | 50100 Golsh Road, Indian Health Council Dental Dept, Valley Center, CA 92082 | 2006-10-23 |
| 1831610864 | Misty Shasceen Taylor | Social Worker | 50100 Golsh Road, Valley Center, CA 92082 | 2017-06-29 |
| 1912198854 | Charles Stephen Smith | Internal Medicine | 50100 Golsh Rd, Valley Center, CA 92082 | 2007-08-06 |
| 1285756122 | Sandra Elena Primosch | Dentist | 50100 Golsh Rd, Valley Center, CA 92082 | 2007-04-04 |
| 1821030446 | Indian Health Council Pharmacy | Pharmacy | 50100 Golsh Rd, Valley Center, CA 92082 | 2006-06-11 |
| 1750437612 | Daniel J. Lee | Dentist | 10416 Couser Way, Valley Center, CA 92082-3018 | 2007-01-25 |
| 1861838930 | Daniel Lee | Dentist | 10416 Couser Way, Valley Center, CA 92082-3018 | 2013-05-16 |
| Find all providers in zip 92082 | ||||
| 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 |
|---|---|---|---|---|
| 1215235569 | Judith Kay | Social Worker | 26854 Saint Andrews Ln, Valley Center, CA 92082-6658 | 2011-03-10 |
| 1831113653 | Carolyn Minerva Kurtz | Social Worker | 31010 Stardust Ln, Valley Center, CA 92082-3441 | 2006-07-26 |
| 1831610864 | Misty Shasceen Taylor | Social Worker | 50100 Golsh Road, Valley Center, CA 92082 | 2017-06-29 |
| 1033641766 | Indian Health Council, Inc. | Social Worker | 50100 Golsh Rd, Valley Center, CA 92082-5338 | 2017-03-31 |
| 1093993487 | Alfed David Juuarez | Social Worker | 50100 Golsh Rd, Valley Center, CA 92082-5338 | 2008-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295244 | Keith Aaron Rivera | Social Worker | 605 Sundahl Dr, Folsom, CA 95630-6353 | 2020-11-03 |
| 1043811482 | Ofelia Stephanie Gonzalez | Social Worker | 252 San Jose St. Upstairs Suite, Salinas, CA 93901 | 2020-11-03 |
| 1780284356 | Tyler Young | Social Worker | 73140 Guadalupe Ave, Palm Desert, CA 92260-2858 | 2020-10-31 |
| 1588264220 | Danielle Segal | Social Worker | 10085 Nicolas Dr Unit B, Truckee, CA 96161-1871 | 2020-10-30 |
| 1598365389 | Camila Alaasam | Social Worker | 2145 Myrtle Ave # 3323, Eureka, CA 95501-3323 | 2020-10-29 |
| 1720688906 | Jennifer L Salcido | Social Worker | 2292 Celeste Ave, Clovis, CA 93611-6253 | 2020-10-28 |
| 1730788217 | Tara Christine Stafford | Social Worker | 30 Carlyle Ct, Danville, CA 94506-6147 | 2020-10-26 |
| 1730788282 | Fatima Billoo | Social Worker | 18928 Lassen St, Northridge, CA 91324-1835 | 2020-10-25 |
| 1306445903 | Enerje Wellness Licenced Clinical Social Worker | Social Worker | 7121 Magnolia Ave Ste O, Riverside, CA 92504-3805 | 2020-10-23 |
| 1972102671 | Kimberly Sherman | Social Worker | 1110 Ranleigh Way, Piedmont, CA 94610-1135 | 2020-10-22 |
| Find all providers with the same taxonomy | ||||
| City | VALLEY CENTER |
| Zip Code | 92082 |
Please comment or provide details below to improve the information on PENNY BLAZEJ LICENSED CLINICAL SOCIAL WORKER PROF CORP.
| 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.