MILDRED AZUCENA GAITAN-GONZALEZ (NPI# 1841535267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841535267 |
| Entity Type | Individual |
| Full Name | MILDRED AZUCENA GAITAN-GONZALEZ |
| Credential | L.C.S.W. |
| Practice Address |
228 Shoup Ave W Twin Falls ID 83301-5022 |
| Mailing Address |
1274 Northern Pine Dr Twin Falls ID 83301-3208 |
| Practice Telephone | 2088147900 |
| Mailing Telephone | 2084211024 |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2014-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | LMSW-32352 | ID | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW-34217 | ID | Behavioral Health & Social Service Providers |
| Street Address |
228 SHOUP AVE W |
| City | TWIN FALLS |
| State | ID |
| Zip Code | 83301-5022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164469870 | St Lukes Magic Valley Regional Medical Center Ltd | Psychiatric Unit | 228 Shoup Ave W, Twin Falls, ID 83301-5022 | 2006-06-01 |
| 1780150979 | Michelle Harcourt | Registered Nurse | 228 Shoup Ave W, Twin Falls, ID 83301-5022 | 2018-10-16 |
| 1528441631 | Lisa Catherine Reeves | Social Worker | 228 Shoup Ave W, Twin Falls, ID 83301-5022 | 2015-07-07 |
| 1417330119 | St. Luke's Canyon View | Psychiatric Unit | 228 Shoup Ave W, Twin Falls, ID 83301-5022 | 2015-06-30 |
| 1154723120 | Jeremiah W Neibling | Nurse Practitioner | 228 Shoup Ave W, Twin Falls, ID 83301-5022 | 2014-09-22 |
| 1881967511 | Ronda Elizabeth Case | Social Worker | 228 Shoup Ave W, Twin Falls, ID 83301-5022 | 2012-02-10 |
| 1053628339 | Pat M Kaes | Counselor | 228 Shoup Ave W, Twin Falls, ID 83301-5022 | 2010-09-08 |
| 1043527302 | Jeremy Royal | Counselor | 228 Shoup Ave W, Twin Falls, ID 83301-5022 | 2010-09-08 |
| 1548572274 | Umesh Bhandari | Psychiatry & Neurology | 228 Shoup Ave W, Twin Falls, ID 83301 | 2010-07-10 |
| 1326161480 | Lisa C Mccue Pugrud | Counselor | 228 Shoup Ave W, Twin Falls, ID 83301-5022 | 2007-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023645918 | Matthew Anderson | Pharmacist | Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 | 2020-03-23 |
| 1780146316 | Frontier Pediatric Partners, Pllc | Pediatrics | 1502 Locust Street N #700, Twin Falls, ID 83301 | 2019-04-02 |
| 1972073377 | Wood River Acupuncture | Acupuncturist | 1625 Addison Ave East, Twin Falls, ID 83301 | 2018-11-28 |
| 1235629874 | Lonnie Paul | Counselor | 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 | 2018-05-17 |
| 1679060966 | Christina Jirapha Thongdee | Social Worker | 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 | 2018-04-23 |
| 1437658499 | Tyrel Kevin Ward | Chiropractor | 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 | 2018-02-06 |
| 1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
| 1578005195 | Matthew Carter | Physical Therapist | 1053 Eastland Drive, Twin Falls, ID 83301 | 2016-11-14 |
| 1790227783 | Murvat Usmanova | Nurse Practitioner | 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 | 2016-11-08 |
| 1265894687 | Shawna Fultz | Social Worker | 1201 Fall Ave East Suite C, Twin Falls, ID 83301 | 2016-03-24 |
| Find all providers in zip 83301 | ||||
| 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 |
|---|---|---|---|---|
| 1275093858 | A Chance 4 Change | Social Worker | 459 Locust St N Ste 108, Twin Falls, ID 83301-7324 | 2019-03-21 |
| 1508336900 | Stefani Lynne Campa-macfee | Social Worker | 746 N College Rd Ste D, Twin Falls, ID 83301-3486 | 2018-11-28 |
| 1679060966 | Christina Jirapha Thongdee | Social Worker | 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 | 2018-04-23 |
| 1023528791 | Amanda Breaux Gray | Social Worker | 1940 Laura Cir, Twin Falls, ID 83301-7009 | 2017-10-06 |
| 1467815001 | Scott Rasmussen | Social Worker | 442 Sagebrush Dr, Twin Falls, ID 83301-7554 | 2016-03-31 |
| 1801273271 | Healing Hoofbeats, LLC | Social Worker | 1173 Hankins Rd N, Twin Falls, ID 83301-8185 | 2015-05-05 |
| 1114312303 | Jamie M Kelley-kinyon | Social Worker | 775 Pole Line Rd, Suite 302, Twin Falls, ID 83301 | 2015-04-03 |
| 1114315389 | Donna Laura Graybill | Social Worker | 1092 Eastlland Dr., Twin Falls, ID 83301 | 2014-12-22 |
| 1861897977 | Darcie Deleon | Social Worker | 2583 E 3700 N, Twin Falls, ID 83301-0144 | 2014-10-31 |
| 1639595911 | Stefanie Gilbert | Social Worker | 2584 9th Ave E, Twin Falls, ID 83301-8204 | 2014-03-11 |
| Find all providers in TWIN FALLS | ||||
| City | TWIN FALLS |
| Zip Code | 83301 |
Please comment or provide details below to improve the information on MILDRED AZUCENA GAITAN-GONZALEZ.
| 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.