MRS. CURLETTE LATRICE ANTWINE (NPI# 1841535861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841535861 |
| Entity Type | Individual |
| Full Name | MRS. CURLETTE LATRICE ANTWINE |
| Credential | MSW |
| Practice Address |
801 Empire St Fairfield CA 94533-5702 |
| Mailing Address |
2100 Peabody Rd Vacaville CA 95687-6639 |
| Practice Telephone | 7074255744 |
| Practice Fax Number | 7074255162 |
| Mailing Telephone | 7074510182 |
| Enumeration Date | 2012-12-02 |
| Last Update Date | 2020-09-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | LMSW-13531 | AZ | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
72039 | CA | Behavioral Health & Social Service Providers |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 72039 | CA | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2100 Peabody Rd, Vacaville, CA 956876639 | 7074510182 |
| Street Address |
801 EMPIRE ST |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94533-5702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568523215 | Eileen Nolan | Social Worker | 801 Empire St, Fairfield, CA 94533-5702 | 2006-12-13 |
| 1053927178 | Cristina Marissa Cummings | Occupational Therapist | 801 Empire St, Fairfield, CA 94533-5702 | 2020-09-23 |
| 1528674231 | Alicia Renee Samp | Student in an Organized Health Care Education/Training Program | 801 Empire St, Fairfield, CA 94533-5702 | 2020-09-17 |
| 1184237513 | Jessica Elizabeth Chelsky | Student in an Organized Health Care Education/Training Program | 801 Empire St, Fairfield, CA 94533-5702 | 2020-08-25 |
| 1316571052 | Darrell Allen Staley Jr. | Counselor | 801 Empire St, Fairfield, CA 94533-5702 | 2020-03-02 |
| 1871142570 | Ariel Perloff | Student in an Organized Health Care Education/Training Program | 801 Empire St, Fairfield, CA 94533-5702 | 2019-09-05 |
| 1295384048 | Catherine Ann Mitsuko Berner | Student in an Organized Health Care Education/Training Program | 801 Empire St, Fairfield, CA 94533-5702 | 2019-09-04 |
| 1538717558 | Jennifer Lynn Harrigan | Student in an Organized Health Care Education/Training Program | 801 Empire St, Fairfield, CA 94533-5702 | 2019-09-03 |
| 1558919787 | Leslie Nicole Alter | Student in an Organized Health Care Education/Training Program | 801 Empire St, Fairfield, CA 94533-5702 | 2019-08-30 |
| 1427606771 | Lindsay Hammond | Student in an Organized Health Care Education/Training Program | 801 Empire St, Fairfield, CA 94533-5702 | 2019-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487347 | Shayondelice Sledge | Case Manager/Care Coordinator | 3001 N. Texas St., #27, Fairfield, CA 94533 | 2020-08-16 |
| 1508401191 | Tiffany Ann Garcia | Social Worker | 1301 Roman Way, Martinez, CA 94533 | 2019-11-07 |
| 1609424175 | Andrew Stephens | Student in an Organized Health Care Education/Training Program | Dgmc, 101 Bodin Cir, Fairfield, CA 94533 | 2019-08-28 |
| 1821645383 | Michelle Marie Hackett | Marriage & Family Therapist | 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 | 2019-08-20 |
| 1780154369 | Maria Leonila Ramos Corpuz | Behavior Technician | 744 Empire Street Suite 160, Fairfield, CA 94533 | 2018-11-27 |
| 1629575303 | Jeanne Ann Kiernan | Dentist | 690 Airman Dr, Apo, AA 94533 | 2018-04-10 |
| 1629596820 | Max Kardos | Student in an Organized Health Care Education/Training Program | 801 Empire St., Fairfield, CA 94533 | 2017-09-07 |
| 1780119867 | Justin Denhart Dickson | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 | 2017-04-26 |
| 1639613409 | Behrooz Shafiezadeh | Marriage & Family Therapist | Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 | 2016-12-13 |
| 1427500164 | Tanya Ayers | Counselor | 801 Empire Street, Fairfield, CA 94533 | 2016-10-28 |
| Find all providers in zip 94533 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407466493 | Lizbeth Padilla | Student in an Organized Health Care Education/Training Program | 1125 Hayes St, Fairfield, CA 94533-4707 | 2020-08-04 |
| 1003426024 | Rebecca M Dance | Student in an Organized Health Care Education/Training Program | 5752 David Pl, Fairfield, OH 45014-3508 | 2020-08-04 |
| 1942819826 | Lauren J Cotton | Student in an Organized Health Care Education/Training Program | 1073 North Benson Road, Fairfield, CT 06824 | 2020-07-28 |
| 1396368585 | Sadek Debwan | Student in an Organized Health Care Education/Training Program | 2813 Shelter Hill Dr, Fairfield, CA 94534-8628 | 2020-05-21 |
| 1508487711 | Sheila C Flood | Student in an Organized Health Care Education/Training Program | 101 Biden Circle, Fairfield, CA 94535 | 2020-04-28 |
| 1023647989 | Maggie Giambalvo | Student in an Organized Health Care Education/Training Program | 752 Towne House Rd, Fairfield, CT 06824-1819 | 2020-04-03 |
| 1518503689 | Greta Jones | Student in an Organized Health Care Education/Training Program | 855 Mcglaughlin Rd, Fairfield, PA 17320-9002 | 2019-11-22 |
| 1609424175 | Andrew Stephens | Student in an Organized Health Care Education/Training Program | Dgmc, 101 Bodin Cir, Fairfield, CA 94533 | 2019-08-28 |
| 1427600550 | Nancy Ivette Bocanegra | Student in an Organized Health Care Education/Training Program | 1607 Clay St, Fairfield, CA 94533-3808 | 2019-07-09 |
| 1013481316 | Raquel Marie Divincenzo | Student in an Organized Health Care Education/Training Program | 5151 Park Ave # Mc1425, Fairfield, CT 06825-1090 | 2019-01-20 |
| Find all providers in FAIRFIELD | ||||
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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.