JESSICA DYER (NPI# 1871929034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871929034 |
| Entity Type | Individual |
| Full Name | JESSICA DYER |
| Other Name | JESSICA VU |
| Credential | ASW |
| Practice Address |
381 Bayside Rd Ste C Arcata CA 95521-7102 |
| Practice Telephone | 7076019734 |
| Mailing Telephone | 7076019734 |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2019-12-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
69106 | CA | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | 32053 | CA | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
69106 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1519 S Oregon St, Yreka, CA 960973425 | 5308429200 | 5308429207 |
| 3124 International Blvd, Oakland, CA 946012902 | 5104345421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659672343 | Jessica Dyer | Physical Therapist | 395 Clark Rd, Albion, ME 04910-6016 | 2010-11-11 |
| 1942817739 | Jessica Summer Brooke Dyer | Occupational Therapist | 4 School St Ste 2, Milbridge, ME 04658-3542 | 2020-09-26 |
| 1245755453 | Jessica Dyer | Counselor | 11 Robinson St, Pottstown, PA 19464 | 2017-08-09 |
| 1992164636 | Jessica Dyer | Counselor | 595 Nw 11th St, Hermiston, OR 97838-6600 | 2016-02-22 |
| 1679931836 | Jessica Dyer | Physical Therapist | 1200 Childrens Ave, Oklahoma City, OK 73104-4637 | 2016-02-03 |
| 1568733160 | Jessica Lynne Dyer | Student in an Organized Health Care Education/Training Program | 3518 Laclede Ave, Saint Louis, MO 63103-2011 | 2012-01-13 |
| 1861702896 | Jessica A Dyer | Nurse Practitioner | 602 W University Ave, Urbana, IL 61801-2530 | 2010-10-08 |
| 1649405705 | Jessica Dyer | Physical Therapist | 2245 Plantation Center Dr Ste 57, Fleming Island, FL 32003-4311 | 2009-05-19 |
| 1841333655 | Jessica Jeter Dyer | Case Manager/Care Coordinator | 650 S. Peoria, Tulsa, OK 74120-4429 | 2007-02-14 |
| Street Address |
381 BAYSIDE RD STE C |
| City | ARCATA |
| State | CA |
| Zip Code | 95521-7102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912553736 | Mcc Medical, LLC | Durable Medical Equipment & Medical Supplies | Mcc Medical, LLC, 1565 J Street, Arcata, CA 95521 | 2019-08-16 |
| 1376008599 | Nathan Klier | Behavior Technician | 901 Ost, Arcata, CA 95521 | 2019-02-01 |
| 1740753995 | Maria Sophia Stathos | Behavior Technician | 901 0 Street, Suite C, Arcata, CA 95521 | 2019-01-09 |
| 1639674146 | Choong Yuk Kim | Psychologist | 381 Bayside Rd Ste B, Arcata, CA 95521 | 2018-03-27 |
| 1194089805 | Gary Wilson Barsuaskas | Nurse Practitioner | 4677 Valley West Blvd., Arcata, CA 95521 | 2012-06-27 |
| 1265708424 | Alison Marie Palacios | Family Medicine | 3798 Janes Rd. Suite 10, Arcata, CA 95521 | 2012-03-31 |
| 1538434857 | Kristen Noell Kelley | Behavioral Analyst | 901 O Street, Suite C, Arcata, CA 95521 | 2012-03-20 |
| 1518241264 | Brian D. Lieberman | Psychologist | 730 Bayside Rd, Apt A, Arcata, CA 95521 | 2011-09-29 |
| 1427369412 | John S Yamas | Acupuncturist | 1460 G. Street, Arcata, CA 95521 | 2010-06-24 |
| 1669619391 | Kevin John Mcalerney | Massage Therapist | 770 11th Street, Lost Coast Healing Arts, Arcata, CA 95521 | 2009-01-16 |
| Find all providers in zip 95521 | ||||
| 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 |
|---|---|---|---|---|
| 1306463583 | Robin Wolff | Social Worker | 1091 C St, Arcata, CA 95521-5922 | 2020-07-03 |
| 1245855105 | Rebekah Camille Bailey | Social Worker | 12755 W End Rd, Arcata, CA 95521-8956 | 2020-06-16 |
| 1720600547 | Holly Sturges | Social Worker | 1583 Fickle Hill Rd, Arcata, CA 95521-9054 | 2020-05-14 |
| 1639699226 | Christiane Kerima Furniss | Social Worker | 1062 G St Ste D, Arcata, CA 95521-5800 | 2017-06-23 |
| 1871021097 | Jennifer Mao Villasenor | Social Worker | 3719 Coombs Ct, Arcata, CA 95521-8305 | 2017-06-01 |
| 1053643551 | Nancy Williams | Social Worker | 455 I St Ste 201, Arcata, CA 95521-6195 | 2010-02-08 |
| 1114055274 | Memory Lee Rush | Social Worker | 261 E 11th St, Arcata, CA 95521-6097 | 2007-03-01 |
| 1558496935 | Kelly Cole | Social Worker | 830 G St Ste 200, Arcata, CA 95521-6256 | 2007-02-23 |
| 1033255948 | Jill Frizzell | Social Worker | 632 9th St, A-4, Arcata, CA 95521-6273 | 2007-01-29 |
| 1316096589 | Jessica Brutocao-kemp Montague | Social Worker | 865 9th St Ste 203, Arcata, CA 95521-6242 | 2007-01-09 |
| Find all providers in ARCATA | ||||
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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.