MS. KATHEY MICHELLE WILBORN (NPI# 1841486131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841486131 |
Entity Type | Individual |
Full Name | MS. KATHEY MICHELLE WILBORN |
Credential | L.C.S.W. |
Practice Address |
1225 W 190th St Ste 205 Gardena CA 90248-4336 |
Mailing Address |
Po Box 5201 Gardena CA 90249-5201 |
Practice Telephone | 8882270649 |
Practice Fax Number | 8884347923 |
Mailing Telephone | 3108443431 |
Mailing Fax Number | 3108910195 |
Enumeration Date | 2007-09-20 |
Last Update Date | 2013-04-22 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCS15195 | CA | Behavioral Health & Social Service Providers |
Street Address |
1225 W 190TH ST STE 205 |
City | GARDENA |
State | CA |
Zip Code | 90248-4336 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215537543 | Gereine Mae Condino Datan | Nurse Practitioner | 500 W 190 St, Gardena, CA 90248 | 2020-10-27 |
1154811297 | Patrick Lee | Technician/Technologist | 18203 S. Western Ave Ste. 102, Torrance, CA 90248 | 2018-05-15 |
1386152445 | Ariana Felicitas Nieves | Behavioral Analyst | 870 W 190th St Ste 400, Gardena, CA 90248 | 2018-01-11 |
1265949606 | Jessica Keller | Behavioral Analyst | 879 W 190th St Suite 400, Gardena, CA 90248 | 2018-01-08 |
1265941199 | Jaimee E Munson | Behavioral Analyst | 18726 S. Western Ave St, #408, Gardena, CA 90248 | 2017-09-22 |
1922467349 | Fred Jefferson Memorial Homes | Substance Abuse Rehabilitation Facility | 152 W. Walnut, Suite 150, Gardena, CA 90248 | 2016-02-12 |
1922427442 | Shana Reilly | Behavioral Analyst | 18726 S. Western Ave., Suite 408, Los Angeles, CA 90248 | 2014-04-11 |
1588002216 | Aacres Ca, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19300 S. Hamilton Ave, Ste 130, Gardena, CA 90248 | 2013-06-04 |
1093057598 | Aids Health Foundation | Pharmacist | 19300 S. Hamilton Ave., Ste 170, Gardena, CA 90248 | 2013-03-22 |
1245576594 | Hye Mi Kim | Behavioral Analyst | 18726 S. Western Ave.,#408, Gardena, CA 90248 | 2012-12-13 |
Find all providers in zip 90248 |
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 |
---|---|---|---|---|
1093337040 | Cynthia Bernadine Luellen | Social Worker | 13232 Casimir Ave, Gardena, CA 90249-1633 | 2020-05-13 |
1902145139 | Edward Philip Padilla | Social Worker | 3133 W 154th St, Gardena, CA 90249-4013 | 2013-02-07 |
1649553694 | Veronica Sharon Turner | Social Worker | 15507 S Normandie Ave # 487, Gardena, CA 90247-4028 | 2011-09-26 |
1740322452 | Andrea Sanserino | Social Worker | 108 West Victoria Street, Gardena, CA 90248 | 2007-02-12 |
1578019980 | Kee Jung Eom | Social Worker | 14112 S Kingsley Dr, Gardena, CA 90249-3018 | 2016-08-27 |
1447609169 | Andrea Aguilar | Social Worker | 14112 S Kingsley Dr, Gardena, CA 90249-3018 | 2016-06-03 |
1467835207 | Ann Marie Wimer | Social Worker | 108 W Victoria St, Gardena, CA 90248-3523 | 2015-06-29 |
1538540919 | Sandra Heib | Social Worker | 108 W Victoria St, Gardena, CA 90248-3523 | 2015-06-11 |
1689062820 | Carlos Augusto Reyes-ruiz | Social Worker | 108 W Victoria St, Gardena, CA 90248-3523 | 2014-12-22 |
1306241526 | Tamiko D Love | Social Worker | 1225 W 190th St, Suite 310, Gardena, CA 90248-4320 | 2014-10-30 |
Find all providers in GARDENA |
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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.