TINA LATRICE JOHNSON HOLLMAN


Address: 1669 N E St, San Bernardino, CA 92405-4405
Phone: 9098866737

TINA LATRICE JOHNSON HOLLMAN (NPI# 1891047171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891047171
Entity Type Individual
Full Name TINA LATRICE JOHNSON HOLLMAN
Credential ASW
Practice Address 1669 N E St
San Bernardino
CA 92405-4405
Practice Telephone 9098866737
Practice Fax Number 9098813871
Mailing Telephone 9098866737
Mailing Fax Number 9098813871
Enumeration Date 2012-10-10
Last Update Date 2013-10-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker Behavioral Health & Social Service Providers
N 1041C0700X Social Worker
Specialization: Clinical
37005 CA Behavioral Health & Social Service Providers

Office Location

Street Address 1669 N E ST
City SAN BERNARDINO
State CA
Zip Code 92405-4405

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982739850 Sue Carol Krenz Counselor 1669 N E St, San Bernardino, San Bernardino, CA 92405-4405 2007-02-22
1194214908 Stacy Hutchins Marriage & Family Therapist 1669 N E St, San Bernardino, CA 92405-4405 2018-05-07
1073021275 Mariana Alvarado Case Manager/Care Coordinator 1669 N E St, San Bernardino, CA 92405-4405 2018-01-22
1083015952 Ludenia Coles Student in an Organized Health Care Education/Training Program 1669 N E St, San Bernardino, CA 92405-4405 2014-09-10
1477989432 Christopher Opliger Counselor 1669 N E St, San Bernardino, CA 92405-4405 2013-09-23
1336575380 Katherine Clair Tristan Counselor 1669 N E St, San Bernardino, CA 92405-4405 2013-09-23
1023443439 Christie Annette Mettlen Social Worker 1669 N E St, San Bernardino, CA 92405-4405 2013-09-05
1306282728 Richard Alan Barr Jr. Social Worker 1669 N E St, San Bernardino, CA 92405-4405 2013-05-13
1306196381 Jennifer Adel Farag Marriage & Family Therapist 1669 N E St, San Bernardino, CA 92405-4405 2012-09-17
1962776054 Debra Ericson Jackson Marriage & Family Therapist 1669 N E St, San Bernardino, CA 92405-4405 2012-03-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174177497 New Hope Transitional Living Clinical Nurse Specialist 1228 West 31st, San Bernardino, CA 92405 2019-07-25
1336647494 Paul J Iorio Counselor 1669 Norht E Street, San Bernardino, CA 92405 2018-01-24
1609385756 Abraham Isacc Gonzalez Registered Nurse 255 W 17th St, San Bernardino, CA 92405 2017-09-20
1962945675 Ann Marie Monica Clark Assisted Living Facility 3524 Acacia Avenue, San Bernardino, CA 92405 2016-11-29
1801265715 Leslie Del Toro Counselor 2025 N D St, San Bernardino, CA 92405 2015-09-21
1558797324 Nora Escobar-mandujano Marriage & Family Therapist 1441 North 'd' Street, San Bernardino, CA 92405 2013-09-24
1295088284 Elizabeth Rocha Counselor 1669 North E Street, San Bernardino, CA 92405 2012-10-16
1972855237 Vanessa Kelly Gutierrez Marriage & Family Therapist 1669 N E Street, San Bernardino, CA 92405 2012-10-11
1952664021 Mosley Counseling Center, LLC Counselor 2130 W. Arrowhead Ave., Suite 103c, San Bernardino, CA 92405 2012-06-22
1508167602 Al Shifa Clinic Incorporated Voluntary or Charitable 2334 North Sierra Way, San Bernardino, CA 92405 2010-11-06
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Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841638194 Annette Ludwig Social Worker 8099 Tippecanoe Ave, San Bernardino, CA 92410-5142 2013-06-10
1134466634 Devin Wayne Edwards Social Worker 5688 Elm Ave, San Bernardino, CA 92404-2916 2013-01-04
1750668349 Megan Tebben Social Worker 3998 Obsidian Rd, San Bernardino, CA 92407-0401 2011-11-09
1205111408 Dino Ray Federico Social Worker 2575 Steele Rd, #130, San Bernardino, CA 92408-3950 2011-10-19
1770893224 Adan Bonilla Social Worker 621 E Carnegie Dr Suite 210, San Bernardino, CA 92415-5148 2010-10-18
1427378504 Heather Lynn Hernandez Social Worker 1881 Business Center Dr Ste 10a, San Bernardino, CA 92408-3438 2010-06-10
1578793337 Shareela Marie Allen Social Worker 6791 N. Ofeila Drive, San Bernardino, CA 92407 2009-07-15
1700043726 R. Marlene Evans Social Worker 159 N Plymouth Way, San Bernardino, CA 92408-4120 2008-05-19
1760666986 Robert Earl Dotson Jr. Social Worker 700 E Gilbert St # 4, San Bernardino, CA 92415-1003 2007-12-24
1023205390 Carlos Galvan Morales Social Worker 1485 Yardley St, San Bernardino, CA 92407-3914 2007-10-01
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Competitor

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City SAN BERNARDINO
Zip Code 92405

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Dataset Information

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.

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