ELIZABETH SORENSEN AGNEW (NPI# 1821287210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821287210 |
| Entity Type | Individual |
| Full Name | ELIZABETH SORENSEN AGNEW |
| Other Name | BETH SORENSEN AGNEW |
| Credential | MFT |
| Practice Address |
1210 S Bascom Ave Suite 114 San Jose CA 95128-3543 |
| Practice Telephone | 4088346985 |
| Mailing Telephone | 4088346985 |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2014-04-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 44792 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982959185 | Elizabeth Agnew | Physical Therapist | 275 Century Cir, Suite 103, Louisville, CO 80027-9729 | 2012-07-13 |
| 1043433840 | Elizabeth Bagby Agnew | Internal Medicine | 1200 N Elm St, Greensboro, NC 27401-1004 | 2007-04-10 |
| Street Address |
1210 S BASCOM AVE SUITE 114 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95128-3543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538235759 | Beverly Jacobson | Psychologist | 1210 S Bascom Ave, San Jose, CA 95128-3543 | 2006-11-28 |
| 1033688015 | Tiffany Marie Que-smith | Occupational Therapist | 1210 S Bascom Ave, San Jose, CA 95128-3543 | 2018-11-19 |
| 1326593393 | Poonam Chokshi | Marriage & Family Therapist | 1210 S Bascom Ave, Suite 127, San Jose, CA 95128-3543 | 2016-08-19 |
| 1992169973 | Christopher Thomas | Behavioral Analyst | 1210 S Bascom Ave, Suite 127, San Jose, CA 95128-3543 | 2016-04-06 |
| 1669835906 | Yussra Nimeri | Behavioral Analyst | 1210 S Bascom Ave, Suite 127, San Jose, CA 95128-3543 | 2016-04-04 |
| 1700202405 | Mary Elizabeth Scholer | Occupational Therapist | 1210 S Bascom Ave, Suite 200, San Jose, CA 95128-3543 | 2014-03-05 |
| 1811277908 | Sharon Post | Marriage & Family Therapist | 1210 S Bascom Ave, Suite 114, San Jose, CA 95128-3543 | 2011-08-22 |
| 1932412129 | Jennifer Jean Sutera | Behavioral Analyst | 1210 S Bascom Ave, San Jose, CA 95128-3543 | 2010-07-16 |
| 1104087410 | Cristina | Social Worker | 1210 S Bascom Ave, Suite 122, San Jose, CA 95128-3543 | 2008-06-19 |
| 1114186210 | Claire Adalyn Wright | Marriage & Family Therapist | 1210 S Bascom Ave, Suite 114, San Jose, CA 95128-3543 | 2008-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227138 | Ruth Larsen | Social Worker | 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 | 2020-05-22 |
| 1265067185 | Of Two Minds Psychotherapy | Marriage & Family Therapist | 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 | 2020-03-11 |
| 1982244166 | Cindy Pantoja Escobar | Behavior Technician | 100 O'connor Drive, Suites 21, San Jose, CA 95128 | 2020-01-15 |
| 1104460591 | Katherine Alexandra Misogas | Pharmacist | 777 Turner Dr # 330, San Jose, CA 95128 | 2019-10-29 |
| 1942842216 | Jodie Pierce | Marriage & Family Therapist | 871 Enborg Lane, San Jose, CA 95128 | 2019-10-08 |
| 1003466434 | Dong Mi Cha | Pharmacist | 777 Turner Dr Ste 330, San Jose, CA 95128 | 2019-09-17 |
| 1114571759 | Sleep Well Acupuncture, Inc | Acupuncturist | 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 | 2019-08-01 |
| 1083277677 | Wellocity, Inc | Health Educator | 334 Santana Row, 318, San Jose, CA 95128 | 2019-04-18 |
| 1518428812 | Alexander Diaz | Radiology | 75 South Bascom Ave, San Jose, CA 95128 | 2019-03-28 |
| 1720542103 | Nanci R Price Inc | Chiropractor | 100 O'connor Dr., Ste 27, San Jose, CA 95128 | 2019-01-30 |
| Find all providers in zip 95128 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598372377 | Ratzburg Family Counseling Corporation | Marriage & Family Therapist | 465 Chinook Ln, San Jose, CA 95123-3311 | 2020-09-25 |
| 1285245431 | Carmen J. Frank | Marriage & Family Therapist | 913 Willow St., Suite 103, San Jose, CA 95125 | 2020-08-12 |
| 1083230981 | Joanna Leigh Carson-young | Marriage & Family Therapist | 1769 Park Ave Ste 220, San Jose, CA 95126-2025 | 2020-06-17 |
| 1144857467 | Glenn M Tanimura | Marriage & Family Therapist | 1079 Noble Ln, San Jose, CA 95132-3128 | 2020-03-25 |
| 1265067185 | Of Two Minds Psychotherapy | Marriage & Family Therapist | 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 | 2020-03-11 |
| 1992339196 | Brenda Ann Farrell | Marriage & Family Therapist | 1625 The Alameda Ste 711, San Jose, CA 95126-2225 | 2020-02-26 |
| 1619507472 | Michelle Marie Wambach | Marriage & Family Therapist | 4020 Moorpark Ave Ste 206, San Jose, CA 95117-1846 | 2020-01-21 |
| 1699313080 | Juan Carlos Mercado | Marriage & Family Therapist | 290 North 2nd St, San Jose, CA 95112 | 2019-12-16 |
| 1497398002 | Veronica Marie Ayala | Marriage & Family Therapist | 840 Guadalupe Pkwy Fl 2, San Jose, CA 95110-1714 | 2019-10-26 |
| 1700428224 | Lynn Huggins | Marriage & Family Therapist | 1625 The Alameda Ste 304, San Jose, CA 95126-2223 | 2019-10-16 |
| Find all providers in SAN JOSE | ||||
Please comment or provide details below to improve the information on ELIZABETH SORENSEN AGNEW.
| 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.