MARY MOMEN (NPI# 1821443813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821443813 |
| Entity Type | Individual |
| Full Name | MARY MOMEN |
| Credential | MSW |
| Practice Address |
7707 Austin Rd Stockton CA 95215-8312 |
| Practice Telephone | 2094671295 |
| Mailing Telephone | 2094671295 |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2016-04-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
ASW36516 | CA | Behavioral Health & Social Service Providers |
| Street Address |
7707 AUSTIN RD |
| City | STOCKTON |
| State | CA |
| Zip Code | 95215-8312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134230485 | Saul B Zelan | Psychiatry & Neurology | 7707 Austin Rd, Stockton, CA 95215-8312 | 2006-08-31 |
| 1659981330 | Kamaljot Bajwa | Nurse Practitioner | 7707 Austin Rd, Stockton, CA 95215-8312 | 2020-08-06 |
| 1053956581 | Brian Lee Barker | Social Worker | 7707 Austin Rd, Stockton, CA 95215-8312 | 2019-11-07 |
| 1235795543 | Mike Kerr | Registered Nurse | 7707 Austin Rd, Stockton, CA 95215-8312 | 2019-05-13 |
| 1942792650 | Esmeralda J Pena | Social Worker | 7707 Austin Rd, Stockton, CA 95215-8312 | 2018-05-30 |
| 1306336888 | Debra Ann Robertson | Psychologist | 7707 Austin Rd, Stockton, CA 95215-8312 | 2018-05-10 |
| 1689162182 | Glenn Robert Lundberg | Psychologist | 7707 Austin Rd, Stockton, CA 95215-8312 | 2018-04-30 |
| 1104354273 | Tracy Monique Grissett | Social Worker | 7707 Austin Rd, Stockton, CA 95215-8312 | 2017-06-01 |
| 1609302959 | Melonie Shultz Shultz | Social Worker | 7707 Austin Rd, Stockton, CA 95215-8312 | 2017-05-05 |
| 1245764778 | Samantha Obanor | Social Worker | 7707 Austin Rd, Stockton, CA 95215-8312 | 2017-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023566098 | U.S. Healthworks Medical Group, PC | Preventive Medicine | 3663 E Arch Rd, Suite 400, Stockton, CA 95215 | 2016-09-19 |
| 1518392067 | Thuy Nhut Nguyen | Pharmacist | 7707 S Austin Rd, Stockton, CA 95215 | 2013-09-03 |
| 1154760270 | Stephanie Skewes | Psychologist | 7707 S Austin Road, Department of State Hospitals-stockton, Stockton, CA 95215 | 2013-06-21 |
| 1053750398 | Steven Cartwright | Psychologist | 7707 S. Austin Road, Department of State Hospitals-stockton, Stockton, CA 95215 | 2013-06-20 |
| 1447520465 | James E Telander | Psychologist | 7650 S. Newcastle Rd., Stockton, CA 95215 | 2012-01-06 |
| 1568479806 | John Carl Molthen | Chiropractor | 4795 E State Route 88, Stockton, CA 95215 | 2006-08-01 |
| 1932735420 | Corrections and Rehabilitation | Pharmacy | 7707 South Austin Road, Room 123, Stockton, CA 95215 | 2020-03-17 |
| 1972101681 | Mersadez Oller | Behavior Technician | 4815 Joseph Leon Ln, Stockton, CA 95215-1153 | 2020-10-14 |
| 1477809929 | Milagros Moreno Mcarthur | Licensed Psychiatric Technician | 10834 Copperopolis Rd, Stockton, CA 95215-1741 | 2012-08-01 |
| 1710535141 | Edith Reyes | Nurse Practitioner | 4815 Palmer Ave, Stockton, CA 95215-1824 | 2019-08-28 |
| Find all providers in zip 95215 | ||||
| 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 |
|---|---|---|---|---|
| 1528696366 | Benica Jane Foster | Social Worker | 343 E Main St Ste 919, Stockton, CA 95202-2932 | 2020-03-28 |
| 1881226702 | Dawayla Sheree Williams | Social Worker | 4719 Quail Lakes Dr Ste G1046, Stockton, CA 95207-5267 | 2020-02-08 |
| 1407487200 | Lecia Harrison | Social Worker | 4216 Sturgeon Rd, Stockton, CA 95219-4937 | 2020-01-30 |
| 1821632670 | Sandra L Barrios | Social Worker | 2001 Tillie Lewis Dr, Stockton, CA 95206-4603 | 2019-11-05 |
| 1861035586 | Andrea Mn Perkins | Social Worker | Sjc Bhs Bacop, 1149 El Dorado Street, Stockton, CA 95202 | 2019-10-25 |
| 1730655895 | Jenaiah La'neise Sauceda | Social Worker | 343 E Main St Ste 918, Stockton, CA 95202 | 2018-10-16 |
| 1982191649 | Diego Garcia | Social Worker | 10229 Crocker Rd, Stockton, CA 95206-9506 | 2018-04-18 |
| 1679082283 | Alexis Alexandria Pigorsch | Social Worker | 2431 W March Ln Ste 100, Stockton, CA 95207-8211 | 2017-09-26 |
| 1255780078 | Taneka Carnes-jackson | Social Worker | 3131 Arch Airport Rd, #31072, Stockton, CA 95213-3000 | 2016-06-13 |
| 1700281367 | Carol Robinson | Social Worker | 1149 El Dorado St., Stockton, CA 95202 | 2014-10-24 |
| Find all providers in STOCKTON | ||||
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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.