RATANA TAK (NPI# 1922440643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922440643 |
| Entity Type | Individual |
| Full Name | RATANA TAK |
| Credential | L.C.S.W. |
| Practice Address |
1 Kings Way Avenal CA 93204-9708 |
| Practice Telephone | 5593860587 |
| Mailing Telephone | 5593860587 |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2013-07-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCS 27679 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1 KINGS WAY |
| City | AVENAL |
| State | CA |
| Zip Code | 93204-9708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649242256 | Pratap Narayan | Psychiatry & Neurology | 1 Kings Way, (avenal State Prison), Avenal, CA 93204-9708 | 2006-02-07 |
| 1659970499 | Kelsey Penner | Psychologist | 1 Kings Way, Avenal, CA 93204-9708 | 2020-10-22 |
| 1376178103 | Corrections and Rehabilitation | Pharmacy | 1 Kings Way, Avenal, CA 93204 | 2020-03-12 |
| 1417306630 | Camille Ross Summons | Social Worker | 1 Kings Way, Avenal, CA 93204-9708 | 2016-06-08 |
| 1922428309 | Kenneth Tsutsui | Pharmacist | 1 Kings Way, Avenal, CA 93204-9708 | 2014-04-23 |
| 1518386119 | Dieu Ngoc Cao | Pharmacist | 1 Kings Way, Avenal, CA 93204-9708 | 2014-04-10 |
| 1861822504 | Junior Gonzalez | Social Worker | 1 Kings Way, Avenal, CA 93204-9708 | 2013-11-15 |
| 1346686656 | Bao Vinh Trinh | Psychologist | 1 Kings Way, Avenal, CA 93204-9708 | 2013-05-14 |
| 1396087326 | Angela Venetis-colon | Psychologist | 1 Kings Way, Avenal, CA 93204-9708 | 2013-03-15 |
| 1396097911 | Kenneth Brent Olsen | Psychologist | 1 Kings Way, Avenal, CA 93204-9708 | 2012-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851658595 | Dallin Andersen | Physician Assistant | 216 East Fresno Street, Avenal, CA 93204 | 2012-04-19 |
| 1679804199 | Bert Kirby Simpson | Psychologist | 5357 Yankee Canyon Dr, Lake Isabella, CA 93204 | 2010-01-22 |
| 1710161898 | William Burns | Dentist | Avenal State Prison, #1 Kings Way, Avenal, CA 93204 | 2007-12-24 |
| 1760695217 | Ziad M Dagher | Dentist | 310 W Shaw College, Fresno, CA 93204 | 2007-05-08 |
| 1588786834 | Dean Robinson | Dentist | 1 Kings Wy, Avenal State Prison, Dental Dept, Avenal, CA 93204 | 2007-04-06 |
| 1326132697 | Don Glen Lindquist | Dentist | #1 Kings Way, Avenal State Prison, Avenal, CA 93204 | 2006-10-03 |
| 1932435419 | Melissa Sue Alvarez | Counselor | #1 Kings Way, Avenal, CA 93204 | 2009-10-19 |
| 1720265697 | Robert Volney Justice | Dentist | #1 Kings Way, Asp, Avenal, CA 93204 | 2008-01-23 |
| 1396889531 | Kings View Counseling Services for Kings County | Community/Behavioral Health | 228 East Kings St., Avenal, CA 93204-0000 | 2007-02-19 |
| 1497755334 | Avenal Healthcare District | Ambulance | 317 E Alpine St, Avenal, CA 93204-1019 | 2005-07-21 |
| Find all providers in zip 93204 | ||||
| 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 |
|---|---|---|---|---|
| 1417306630 | Camille Ross Summons | Social Worker | 1 Kings Way, Avenal, CA 93204-9708 | 2016-06-08 |
| 1861822504 | Junior Gonzalez | Social Worker | 1 Kings Way, Avenal, CA 93204-9708 | 2013-11-15 |
| 1477860344 | Michelle Phillips | Social Worker | 148 E Kings St, Avenal, CA 93204-1529 | 2010-09-13 |
| 1801113675 | Carolyn Ashley Wanyonyi | Social Worker | 1000 Skyline Blvd, Avenal, CA 93204-1850 | 2010-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295244 | Keith Aaron Rivera | Social Worker | 605 Sundahl Dr, Folsom, CA 95630-6353 | 2020-11-03 |
| 1043811482 | Ofelia Stephanie Gonzalez | Social Worker | 252 San Jose St. Upstairs Suite, Salinas, CA 93901 | 2020-11-03 |
| 1780284356 | Tyler Young | Social Worker | 73140 Guadalupe Ave, Palm Desert, CA 92260-2858 | 2020-10-31 |
| 1588264220 | Danielle Segal | Social Worker | 10085 Nicolas Dr Unit B, Truckee, CA 96161-1871 | 2020-10-30 |
| 1598365389 | Camila Alaasam | Social Worker | 2145 Myrtle Ave # 3323, Eureka, CA 95501-3323 | 2020-10-29 |
| 1720688906 | Jennifer L Salcido | Social Worker | 2292 Celeste Ave, Clovis, CA 93611-6253 | 2020-10-28 |
| 1730788217 | Tara Christine Stafford | Social Worker | 30 Carlyle Ct, Danville, CA 94506-6147 | 2020-10-26 |
| 1730788282 | Fatima Billoo | Social Worker | 18928 Lassen St, Northridge, CA 91324-1835 | 2020-10-25 |
| 1306445903 | Enerje Wellness Licenced Clinical Social Worker | Social Worker | 7121 Magnolia Ave Ste O, Riverside, CA 92504-3805 | 2020-10-23 |
| 1972102671 | Kimberly Sherman | Social Worker | 1110 Ranleigh Way, Piedmont, CA 94610-1135 | 2020-10-22 |
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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.