IDA LAWANDA TIMES (NPI# 1841573151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841573151 |
| Entity Type | Individual |
| Full Name | IDA LAWANDA TIMES |
| Practice Address |
555 Northgate San Rafael CA 94903 |
| Practice Telephone | 4154542152 |
| Mailing Telephone | 4154542152 |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2011-09-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041S0200X |
Social Worker Specialization: School |
Behavioral Health & Social Service Providers |
| Street Address |
555 NORTHGATE |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467089524 | Christopher Sazo | Counselor | 1 St. Vincents Drive, San Rafael, CA 94903 | 2020-03-26 |
| 1134769482 | Katherine Sieger | Music Therapist | 400 Civic Center Dr. #300, San Rafael, CA 94903 | 2020-01-14 |
| 1679064836 | California In Home Care & Registry, Inc | In Home Supportive Care | 14b Mitchell Blvd, Suite B, San Rafael, CA 94903 | 2018-05-23 |
| 1922557586 | Helen Elizabeth Shamis | Marriage & Family Therapist | 30 North San Pedro, Suite #265, Beyond Hunger, San Rafael, CA 94903 | 2016-09-23 |
| 1033572771 | Henry Colbert | Counselor | 1 St. St. Vincent Drive, San Rafael, CA 94903 | 2016-03-31 |
| 1659736924 | Robyn Bloom | Marriage & Family Therapist | 4 Joseph Court, San Rafael, CA 94903 | 2015-12-30 |
| 1851760565 | Cheryl Clementson | Substance Abuse Rehabilitation Facility | 301 Smith Ranch Road, San Rafael, CA 94903 | 2015-09-23 |
| 1588043731 | Chelsea Cooney | Counselor | 1 St. Vincent's Drive, San Rafael, CA 94903 | 2015-05-20 |
| 1083002315 | Kaiser Permanente | Psychiatric Unit | 111 Smith Ranch Road, Kaiser Permanente, San Rafael, CA 94903 | 2015-01-09 |
| 1366857856 | Travel Well Corporation | Preventive Medicine | 28 Mitchell Blvd, San Rafael, CA 94903 | 2014-06-24 |
| Find all providers in zip 94903 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366692394 | Chau Tran | Social Worker | 171 Carlos Dr, San Rafael, CA 94903-2005 | 2008-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598363467 | Danielle Bower | Social Worker | 746 Grand Ave, Oakland, CA 94610-2714 | 2020-10-13 |
| 1013521566 | Simon Desmarais-zalob | Social Worker | 2460 Clay Bank Rd Bldg 8, Fairfield, CA 94533-1655 | 2020-09-02 |
| 1669086245 | Mozell Brown | Social Worker | 1150 S Olive St Ste 1150s, Los Angeles, CA 90015-2211 | 2020-09-01 |
| 1780297846 | Karla Stehl | Social Worker | 6996 Mission St, Daly City, CA 94014-2035 | 2020-08-28 |
| 1841803012 | Caterina Poehner | Social Worker | 617 Bayonet Cirle, Marina, CA 93933 | 2020-08-28 |
| 1043823370 | Melissa Sue Ambrose | Social Worker | 699 Serramonte Blvd Ste 100, Daly City, CA 94015-4132 | 2020-08-26 |
| 1982215067 | Monique Gomes | Social Worker | 412 Azores Cir, Bay Point, CA 94565-3031 | 2020-08-12 |
| 1790308906 | Sara Brenner | Social Worker | 29835 Mira Loma Dr, Temecula, CA 92592-2206 | 2020-05-21 |
| 1891318465 | Christian O'brian Munoz | Social Worker | 341 Haven Dr, Arvin, CA 93203-1918 | 2020-05-18 |
| 1356963078 | Roman Richard Tabayoyon | Social Worker | 9781 Mckenna Dr, Elk Grove, CA 95757-4027 | 2020-05-15 |
| Find all providers with the same taxonomy | ||||
| City | SAN RAFAEL |
| Zip Code | 94903 |
Please comment or provide details below to improve the information on IDA LAWANDA TIMES.
| 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.