MRS. MICHELLE RUIDERA FORTUNADO-KEWIN


Address: 243 Citrus Ave, Daly City, CA 94014-1946
Phone: 4155627096

MRS. MICHELLE RUIDERA FORTUNADO-KEWIN (NPI# 1902057532) 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) 1902057532
Entity Type Individual
Full Name MRS. MICHELLE RUIDERA FORTUNADO-KEWIN
Credential LCSW
Practice Address 243 Citrus Ave
Daly City
CA 94014-1946
Practice Telephone 4155627096
Mailing Telephone 4155627096
Enumeration Date 2008-10-01
Last Update Date 2016-12-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
28843 CA Behavioral Health & Social Service Providers

Office Location

Street Address 243 CITRUS AVE
City DALY CITY
State CA
Zip Code 94014-1946

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NPI Name Taxonomy Address Enumeration
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1821341934 Meta Indrajanti Darmawan Dentist 6273 Mission St #200, Daly City, CA 94014 2012-10-26
1174828792 Yahaira Cruz Ortega Counselor 9 Cypress Ct, Daly City, CA 94014 2011-01-12
1548574189 Sas Global LLC Non-emergency Medical Transport (VAN) 66 San Pedro Road, Suite C2, Daly City, CA 94014 2010-08-05
1083943955 Dorie Paniza Physical Therapist 171a School St., Daly City, CA 94014 2009-12-23
1700074853 Gaurav Abbi Orthopaedic Surgery 2171 Junipero Serra Blvd Ste 388, Daly City, CA 94014 2007-10-12
1619176252 Gracia Cua Dentist 2171 Junipero Serra Blvd, Suite 110, Daly City, CA 94014 2007-07-13
1740489624 Kelvin Tan Dentist 220 First Ave, Daly City, CA 94014 2007-07-12
1952446098 Suzette M. Villanueva Dentist 7621 El Camino Real, Colma, CA 94014 2007-02-20
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407259880 Christine Lau Social Worker 66 Partridge Ln, Daly City, CA 94014-1360 2014-09-30
1093024937 Adam G Clark-tan Social Worker 21 Penhurst Ave, Daly City, CA 94015-4423 2010-09-27
1548386519 Ruby Kamaka Social Worker 4429 Callan Blvd, Daly City, CA 94015-4410 2007-03-22
1831239607 Robert Boltuch Social Worker 990 Saint Francis Blvd, #1028, Daly City, CA 94015-4366 2007-02-08
1477634954 Nancy Lim-yee Social Worker 211 Eastmoor Avenue, Daly City, CA 94015-2036 2006-10-18
1427524149 David Andrew Scheid Social Worker 2001 Junipero Serra Blvd Ste 650, Daly City, CA 94014-3897 2018-10-19
1023516929 Helene Michelle Omansky Social Worker 901 Campus Dr, Daly City, CA 94015 2018-01-25
1306095815 Ari Seth Neulight Social Worker 375 89th St, Daly City, CA 94015-1802 2008-09-09
1033306980 Alfredo Zepeda Social Worker 375 89th St, Daly City, CA 94015-1802 2007-09-25
1780893388 Letty Puccinelli Morris Social Worker 1900 Sullivan Ave, Seton Social Services, Daly City, CA 94015-2200 2007-05-21
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Competitor

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City DALY CITY
Zip Code 94014

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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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