HEATHER EDWALL (NPI# 1972982775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972982775 |
| Entity Type | Individual |
| Full Name | HEATHER EDWALL |
| Credential | MSW |
| Practice Address |
452 Old Mammoth Road 3rd Floor Mammoth Lakes CA 93546-2619 |
| Mailing Address |
Po Box 3812 Mammoth Lakes CA 93546-3812 |
| Practice Telephone | 7609241775 |
| Mailing Telephone | 7609353812 |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2015-05-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
ASW37022 | CA | Behavioral Health & Social Service Providers |
| Street Address |
452 OLD MAMMOTH ROAD 3RD FLOOR |
| City | MAMMOTH LAKES |
| State | CA |
| Zip Code | 93546-2619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538266911 | County of Mono | Clinic/Center | 452 Old Mammoth Road, 3rd Floor, Mammoth Lakes, CA 93546-2619 | 2006-09-20 |
| 1326552068 | Rachel Galloway | Marriage & Family Therapist | 452 Old Mammoth Road, 3rd Floor, Mammoth Lakes, CA 93546 | 2017-11-16 |
| 1497095483 | Salvador Jesse Montanez | Exclusive Provider Organization | 452 Old Mammoth Road, Suite 304, Mammoth Lakes, CA 93546-2619 | 2013-02-27 |
| 1073817557 | Danielle George | Counselor | 452 Old Mammoth Road, Mammoth Lakes, CA 93546-2619 | 2010-12-27 |
| 1356540132 | Cristina Dorothy Whitlock | Counselor | 452 Old Mammoth Road, 3rd Floor, Mammoth Lakes, CA 93546 | 2007-07-12 |
| 1619178977 | Randolph Everett Miller | Marriage & Family Therapist | 452 Old Mammoth Road, Mammoth Lakes, CA 93546 | 2007-05-31 |
| 1861524753 | Danielle Jean Moffett | Counselor | 452 Old Mammoth Road, Mammoth Lakes, CA 93546 | 2007-03-09 |
| 1326178245 | Mammoth Lakes Orthopedics Associates | Specialist | 452 Old Mammoth Road, Suite R, Mammoth Lakes, CA 93546-5021 | 2007-03-07 |
| 1679609598 | Michael L Lear | Counselor | 452 Old Mammoth Road, 3rd Floor, Mammoth Lakes, CA 93546-0374 | 2007-02-26 |
| 1952444929 | Laura Suzanne Brown | Case Manager/Care Coordinator | 452 Old Mammoth Road, Ste 304, Mammoth Lakes, CA 93546 | 2007-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513433 | Luisana Beatriz Baires | Case Manager/Care Coordinator | 1290 Tavern Rd., Mammoth Lakes, CA 93546 | 2020-09-21 |
| 1679106371 | Jesica Jasmin Ramos Castelan | Case Manager/Care Coordinator | 365 Sierra Park Rd, Mammoth Lakes, CA 93546 | 2020-02-20 |
| 1669970224 | Andres Villalpando | Case Manager/Care Coordinator | 452 Old Mammoth Rd Suit 304, Mammoth Lakes, CA 93546 | 2018-01-30 |
| 1598278467 | Eastern Sierra Counseling and Consulting | Social Worker | 272 Sierra Manor, Suite B1, Mammoth Lakes, CA 93546 | 2017-11-14 |
| 1053771949 | Sofia Carolina Flores | Counselor | 451 Old Mammoth Rd, 304, Mammoth Lakes, CA 93546 | 2016-03-04 |
| 1669848180 | Jennifer Liebersbach | Chiropractor | 645 Old Mammoth Rd., Mammoth Lakes, CA 93546 | 2015-08-19 |
| 1316281918 | France Jacqueline Fischer | Behavioral Analyst | 2251 Meridian Blvd., Mammoth Lakes, CA 93546 | 2012-11-20 |
| 1366712424 | Richard Charles Bonneau | Counselor | 452 Old Mammoth Rd, 3rd Floor, Mammoth Lakes, CA 93546 | 2012-01-06 |
| 1407155435 | Mammoth Lakes Fire Protection District | Ambulance | 3150 Main Street, Mammoth Lakes, CA 93546 | 2011-03-16 |
| 1588964381 | Nancy Ellen Johnson | Pharmacist | 481 Old Mammoth Road, Mammoth Lakes, CA 93546 | 2010-10-26 |
| Find all providers in zip 93546 | ||||
| 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 |
|---|---|---|---|---|
| 1598278467 | Eastern Sierra Counseling and Consulting | Social Worker | 272 Sierra Manor, Suite B1, Mammoth Lakes, CA 93546 | 2017-11-14 |
| 1629166475 | Constance M. Henderson | Social Worker | 549 Old Mammoth Road, Suite 10, Mammoth Lakes, CA 93546-0000 | 2006-10-10 |
| 1710020227 | Paula Spencer Alvarez | Social Worker | 452 Old Mammoth Road, 3rd Floor, Mammoth Lakes, CA 93546 | 2007-02-14 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | MAMMOTH LAKES |
| Zip Code | 93546 |
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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.