NIDA KHALIL (NPI# 1962014639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962014639 |
| Entity Type | Individual |
| Full Name | NIDA KHALIL |
| Practice Address |
7200 Bancroft Ave Ste 125a Oakland CA 94605-2457 |
| Mailing Address |
Po Box 10493 Oakland CA 94610-0493 |
| Practice Telephone | 5107773836 |
| Mailing Telephone | 4155778919 |
| Enumeration Date | 2020-08-23 |
| Last Update Date | 2020-08-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | D1678816 | 05 |
| Street Address |
7200 BANCROFT AVE STE 125A |
| City | OAKLAND |
| State | CA |
| Zip Code | 94605-2457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780711051 | Tangie Amber Young-hooks | Counselor | 7200 Bancroft Ave Ste 125a, Oakland, CA 94605-2457 | 2007-02-27 |
| 1255944997 | Crystal Marie Green | Social Worker | 7200 Bancroft Ave Ste 125a, Oakland, CA 94605-2457 | 2020-08-24 |
| 1730737156 | Ericka Coe | Social Worker | 7200 Bancroft Ave Ste 125a, Oakland, CA 94605-2457 | 2019-08-28 |
| 1992352561 | Sally Yu | Counselor | 7200 Bancroft Ave Ste 125a, Oakland, CA 94605-2457 | 2019-08-20 |
| 1114403805 | Vanessa Jennings | Counselor | 7200 Bancroft Ave Ste 125a, Oakland, CA 94605-2457 | 2018-07-16 |
| 1285134460 | Chastity Audrey Piedade | Social Worker | 7200 Bancroft Ave Ste 125a, Oakland, CA 94605-2457 | 2018-02-14 |
| 1164960662 | Renikia Brown | Social Worker | 7200 Bancroft Ave Ste 125a, Oakland, CA 94605-2457 | 2017-02-03 |
| 1790228997 | Rose M. Garcia | Counselor | 7200 Bancroft Ave Ste 125a, Oakland, CA 94605-2457 | 2016-11-21 |
| 1215309349 | Michel Douglas | Social Worker | 7200 Bancroft Ave Ste 125a, Oakland, CA 94605-2457 | 2015-10-28 |
| 1871991307 | County of Alameda | Community/Behavioral Health | 7200 Bancroft Ave Ste 125a, Oakland, CA 94605-2457 | 2014-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275181190 | Sarah Primack | Counselor | Castlemont High School, 8601 Macarthur Blvd, Oakland, CA 94605 | 2019-09-04 |
| 1285296475 | Veronica Aguila | Behavior Technician | 2949 Parker Ave, Oakland, CA 94605 | 2019-07-08 |
| 1508321886 | Terra Brown Brown | Counselor | One Eastmont Mall Town Center, 7200 Bancroft Avenue Building B. Suite 133, Oakland, CA 94605 | 2019-01-31 |
| 1619447455 | Elizabeth Niarhos | Counselor | 10850 Macarthur Blvd., Oakland, CA 94605 | 2018-12-04 |
| 1467930966 | Claudia Sanchez | Student in an Organized Health Care Education/Training Program | 7200 Bancroft Avenue, Suite 125d, Oakland, CA 94605 | 2018-08-06 |
| 1447768866 | The Alliance for Community Wellness | Community/Behavioral Health | 2369 84th Ave., Oakland, CA 94605 | 2018-01-19 |
| 1497204010 | Nekeisha Maxie | Specialist | 7200 Bancroft Ave. Bldg. B Suite 133, Oakland, CA 94605 | 2016-09-23 |
| 1073997110 | Sandra Lenoski | Social Worker | 7200 Bancroft Avenue, Building B, Suite 133, Oakland, CA 94605 | 2015-07-18 |
| 1366831414 | Wing Kit Leung | Physical Therapy Assistant | 2445 64th Ave, Oakland, CA 94605 | 2015-01-13 |
| 1558647735 | Jessica Welsh | Counselor | 8759 Mountain Blvd. Bldg. 69, Oakland, CA 94605 | 2011-11-01 |
| Find all providers in zip 94605 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255947958 | Diep Le | Social Worker | 991 39th St Apt B, Oakland, CA 94608-3899 | 2020-09-17 |
| 1518440429 | Shannon Mikeal Carroll | Social Worker | 2640 International Blvd, Oakland, CA 94601-1512 | 2018-09-07 |
| 1467828491 | Caitlin Pugh | Social Worker | 386 14th Street, Oakland, CA 94612 | 2015-08-13 |
| 1053704460 | Ralecia Christina Marks | Social Worker | 5440 Ygnacio Ave, Oakland, CA 94601-5538 | 2015-03-09 |
| 1649668856 | Steven Zhu | Social Worker | 3477 Boston Ave, Oakland, CA 94602-2931 | 2014-12-23 |
| 1023419322 | Janine Moa | Social Worker | 4087 Lincoln Ave, Oakland, CA 94602-2429 | 2014-09-06 |
| 1861805772 | Maimunat Talatu Suleman | Social Worker | 1955 San Pablo Avenue, Oakland, CA 94612 | 2014-06-09 |
| 1386071934 | Stanton Edgar Richardson Jr. | Social Worker | 2116 Broadway Street, Oakland, CA 94612 | 2013-09-27 |
| 1669806287 | Norma Raye Ward | Social Worker | 2116 Broadway Ave, Oakland, CA 94612 | 2013-08-30 |
| 1568803484 | Catherine Rose Morelix | Social Worker | 412 E 19th St Apt 3, Oakland, CA 94606-1830 | 2013-07-08 |
| Find all providers in OAKLAND | ||||
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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.