CYNTHIA C JIMENEZ (NPI# 1902920564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902920564 |
| Entity Type | Individual |
| Full Name | CYNTHIA C JIMENEZ |
| Credential | LCSW |
| Practice Address |
300 Colorado Ave Pueblo CO 81004 |
| Mailing Address |
110 E Routt Ave Pueblo CO 81004-2117 |
| Practice Telephone | 7195438718 |
| Mailing Telephone | 7195438718 |
| Mailing Fax Number | 7195435340 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2018-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | 992416 | CO | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW.00992416 | CO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 04339878 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1008 N Grand Ave, Pueblo, CO 810032916 | 7195438711 | |
| 1050 35th Ln, Pueblo, CO 810069426 | 7195438711 | |
| 1302 E 5th St, Pueblo, CO 810013754 | 7195438711 | |
| 216 E Orman Ave, Pueblo, CO 810042144 | 7195438718 | |
| 2525 Mountview Dr, Pueblo, CO 810081431 | 7195438711 | |
| 328 Avondale Blvd, Pueblo, CO 81022 | 7195438718 | |
| 625 N Monument Ave, Pueblo, CO 810015706 | 7195438711 | |
| 9 Macneil Rd, Pueblo, CO 810011931 | 7195438711 | |
| 900 W Orman Ave Rm Mt118, Pueblo, CO 810041430 | 7195438711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356948400 | Cynthia Aurora Jimenez | Behavior Technician | 6529 Riverside Ave Ste 270, Riverside, CA 92506-3122 | 2020-10-01 |
| 1518591411 | Cynthia Jimenez | Technician/Technologist | 1123 Baldwin St, Salinas, CA 93906-3681 | 2020-02-28 |
| 1063066884 | Cynthia Kay Jimenez | Social Worker | 7625 S 3200 W Ste 2&4, West Jordan, UT 84084-2800 | 2019-07-30 |
| 1801452354 | Cynthia Isabel Jimenez | Counselor | 18623 Gale Ave, City of Industry, CA 91748-1342 | 2019-05-09 |
| 1427568153 | Cynthia Ann Jimenez | Community/Behavioral Health | 4031 W Dayton St, Mchenry, IL 60050-8377 | 2017-10-09 |
| 1558755454 | Cynthia Nair Jimenez | Massage Therapist | 1016 E Broadway, Suite #101, Glendale, CA 91205-4532 | 2015-03-28 |
| Street Address |
300 COLORADO AVE |
| City | PUEBLO |
| State | CO |
| Zip Code | 81004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447245139 | Brett L Hulet | Obstetrics & Gynecology | 300 Colorado Ave, Pueblo, CO 81004 | 2005-09-19 |
| 1487279659 | Christi Lyn Bader | Registered Nurse | 300 Colorado Ave, Pueblo, CO 81004-2006 | 2020-06-12 |
| 1225678261 | Jennifer Castro | Nurse Practitioner | 300 Colorado Ave, Pueblo, CO 81004-2006 | 2020-01-07 |
| 1497391643 | Martin W Chrisman | Nurse Practitioner | 300 Colorado Ave, Pueblo, CO 81004-2006 | 2019-11-22 |
| 1700445467 | Liberty Angel Ruiz | Nurse Practitioner | 300 Colorado Ave, Pueblo, CO 81004-2006 | 2019-06-06 |
| 1578121810 | Samuel Joseph Taibi | Physician Assistant | 300 Colorado Ave, Pueblo, CO 81004-2006 | 2019-06-02 |
| 1386200442 | Kenyada Gilbert | Nurse Practitioner | 300 Colorado Ave, Pueblo, CO 81004-2006 | 2019-05-14 |
| 1659935401 | Christina M Wooters-eck | Nurse Practitioner | 300 Colorado Ave, Pueblo, CO 81004-2006 | 2019-04-26 |
| 1710449004 | Theresa M Chavez | Counselor | 300 Colorado Ave, Pueblo, CO 81004-2006 | 2019-04-04 |
| 1194280701 | Lindsey Brooke Smith | Student in an Organized Health Care Education/Training Program | 300 Colorado Ave, Pueblo, CO 81004-2006 | 2019-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780155929 | Renee C Lane | Nurse Practitioner | 1925 E. Orman Ave. Ste. A109, Pueblo, CO 81004 | 2018-12-16 |
| 1215406913 | Kaiser Foundation Healthplan of Colorado | Pharmacy | 2625 W. Pueblo Blvd, Pueblo, CO 81004 | 2018-11-26 |
| 1053895532 | Rebecka Ann Reatherford | Nurse Practitioner | St Mary-corwin Medical Center, 1008 Minnequa Ave, Pueblo, CO 81004 | 2018-09-20 |
| 1124510821 | Angela M Sillas-green | Counselor | 327 Colorado Ave., Pueblo, CO 81004 | 2018-05-30 |
| 1558898569 | Alexandra R B King | Family Medicine | Southern Colorado Family Medicine, 902 Lakeview Avenue, Pueblo, CO 81004 | 2017-05-22 |
| 1578098752 | James Williams | Counselor | 414 Broadway Ave, Pueblo, CO 81004 | 2017-04-26 |
| 1740732601 | Valerie A Senger | Counselor | 635 W Corona Ave Ste 214, Pueblo, CO 81004 | 2016-10-26 |
| 1194111500 | A New Leaf Therapy, Pllc | Community/Behavioral Health | 327 Colorado Ave, Pueblo, CO 81004 | 2015-04-13 |
| 1619371671 | Mariah Mcginnis | Registered Nurse | 1232 Van Buren St., Pueblo, CO 81004 | 2014-10-20 |
| 1730593112 | Maritza Martinez | Registered Nurse | 1026 Wabriendo Ave, Pueblo, CO 81004 | 2014-06-13 |
| Find all providers in zip 81004 | ||||
| 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 |
|---|---|---|---|---|
| 1366060212 | Christopher Paul Beltran | Social Worker | 5825 Mark Twain Ln, Pueblo, CO 81008-9712 | 2020-07-08 |
| 1295208858 | Elizabeth A Miera | Social Worker | 4718 N Elizabeth St Ste E, Pueblo, CO 81008-2080 | 2019-01-07 |
| 1851883953 | Jade Monique Mixon | Social Worker | 3915 Outlook Blvd Ste B2, Pueblo, CO 81008-2604 | 2018-06-04 |
| 1780187245 | Pauline Mae Boyd | Social Worker | 6175 S Interstate 25, Pueblo, CO 81004-9731 | 2018-03-12 |
| 1801284526 | Maria Mora | Social Worker | 1810 Lynwood Ln, Pueblo, CO 81005-2406 | 2015-01-05 |
| 1447547450 | Susan Lynn Lusero | Social Worker | 12 Barrington Ct, Pueblo, CO 81005-3517 | 2011-06-29 |
| 1548554918 | Brandon Rick | Social Worker | 56 Tierra Casa Dr, Pueblo, CO 81005-9773 | 2011-06-02 |
| 1952606154 | Cathie Bonham | Social Worker | 503 N Main St Ste 711, Pueblo, CO 81003-3178 | 2011-01-19 |
| 1659672632 | Moses Edward Vigil | Social Worker | 208 W 8th St, Pueblo, CO 81003-3023 | 2010-11-08 |
| 1083841944 | Janet Dodson | Social Worker | 4 Montebello Rd, Pueblo, CO 81001-1237 | 2009-06-18 |
| Find all providers in PUEBLO | ||||
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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.