MS. ELIZABETH ANN CORRIS (NPI# 1982850640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982850640 |
| Entity Type | Individual |
| Full Name | MS. ELIZABETH ANN CORRIS |
| Credential | MSW, ASW |
| Practice Address |
5665 College Ave Oakland CA 94618-1625 |
| Mailing Address |
Po Box 22454 Oakland CA 94609-5054 |
| Practice Telephone | 5102051107 |
| Mailing Telephone | 5102051107 |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2008-08-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
24435 | CA | Behavioral Health & Social Service Providers |
| N | 1041S0200X |
Social Worker Specialization: School |
080170494 | CA | Behavioral Health & Social Service Providers |
| Street Address |
5665 COLLEGE AVE |
| City | OAKLAND |
| State | CA |
| Zip Code | 94618-1625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467483123 | Robert Anthony Matano | Psychologist | 5665 College Ave, Suite 320b, Oakland, CA 94618-1625 | 2006-07-05 |
| 1982065280 | David Labua | Marriage & Family Therapist | 5665 College Ave, Suite 230-d, Oakland, CA 94618-1625 | 2016-03-14 |
| 1710386685 | Michael Y. Simon | Marriage & Family Therapist | 5665 College Ave, Suite 340c, Oakland, CA 94618-1625 | 2014-08-17 |
| 1104193168 | Garrett Howard | Marriage & Family Therapist | 5665 College Ave, Suite 340a, Oakland, CA 94618-1625 | 2011-11-18 |
| 1306155536 | Natalie Ann Compagni Portis | Marriage & Family Therapist | 5665 College Ave, Suite 240a, Oakland, CA 94618-1625 | 2010-10-05 |
| 1831410364 | Camala Kirchen | Psychologist | 5665 College Ave, Suite 220b, Oakland, CA 94618-1625 | 2010-06-18 |
| 1922321983 | Theresa Marie Fleury | Psychologist | 5665 College Ave, Suite 340, Oakland, CA 94618-1625 | 2010-03-04 |
| 1316197734 | Mark Balabanis | Psychologist | 5665 College Ave, Ste. 240d, Oakland, CA 94618-1625 | 2008-09-22 |
| 1770741647 | Amy Elizabeth Coo | Psychologist | 5665 College Ave, Oakland, CA 94618-1625 | 2008-05-28 |
| 1912185315 | Edward Garrett Obbard | Psychologist | 5665 College Ave, Suite 340 D, Oakland, CA 94618-1625 | 2008-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487269031 | Philip A Tecau | Marriage & Family Therapist | 5120 Miles Ave, Oakland, CA 94618 | 2020-09-10 |
| 1881241362 | Mycal Moxley | Behavior Technician | 5330 College Avenue, Suite 240, Oakland, CA 94618 | 2019-08-20 |
| 1073174058 | Joyce Lindenbaum | Psychologist | 5435 College Ave., Ste 202, Oakland, CA 94618 | 2019-06-21 |
| 1740597806 | Alissa Warren Kimmell | Social Worker | 5297 College Ave Suite 106, Oakland, Ca., Oakland, CA 94618 | 2010-09-09 |
| 1811127749 | Edna Jeannene Bohannon | Marriage & Family Therapist | 5299 - College Ave., Suite 6, Oakland, CA 94618 | 2009-07-27 |
| 1942465141 | David Michael Poole | Counselor | 6295 Chabot Road, Oakland, CA 94618 | 2008-07-28 |
| 1598937161 | Pharmaca Integrative Pharmacy, Inc. | Pharmacy | 5729 College Ave, Oakland, CA 94618 | 2008-03-24 |
| 1124201116 | Angela K. Shaiman | Marriage & Family Therapist | 5349 College Avenue, Oakland, CA 94618 | 2007-12-12 |
| 1639376965 | Catherine S Cassel | Social Worker | Suite 202-5, 5435 College Ave, Oakland, CA 94618 | 2007-06-29 |
| 1194936443 | Wendelin Leonard | Psychologist | 5309 College Avenue, Oakland, CA 94618 | 2007-05-25 |
| Find all providers in zip 94618 | ||||
| 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 |
|---|---|---|---|---|
| 1265030803 | Alana Lyn Kapust | Social Worker | 590 El Dorado Ave Unit 210, Oakland, CA 94611-5071 | 2020-10-15 |
| 1497377527 | Yurianna Hyechong Na | Social Worker | 1401 Jackson St Apt 501, Oakland, CA 94612-4086 | 2020-05-12 |
| 1861026080 | Urban Catalyst Psychotherapy, A Licensed Clinical Social Worker Corpor | Social Worker | 2700 International Blvd Ste 21, Oakland, CA 94601-1508 | 2020-02-26 |
| 1336789643 | Zosime Calame | Social Worker | 445 Bellevue Ave Ste 300, Oakland, CA 94610-4923 | 2020-01-14 |
| 1316581796 | Joaquin Turner | Social Worker | 2232 Ivy Dr Apt 27, Oakland, CA 94606-1942 | 2019-10-29 |
| 1699324152 | Brian Phanichkarn | Social Worker | 675 Hegenberger Rd Ste 214, Oakland, CA 94621-1989 | 2019-09-08 |
| 1306495007 | Winnie Zhi Liao | Social Worker | 400 Roland Way, Oakland, CA 94621-2012 | 2019-09-05 |
| 1225686314 | Victoria Anderson | Social Worker | 1038 57th St, Oakland, CA 94608-2706 | 2019-08-31 |
| 1881242279 | Lauren Martin | Social Worker | 5231 Market St, Oakland, CA 94608-3254 | 2019-08-28 |
| 1639723703 | Joanna La Torre | Social Worker | 4255 Howe St, Oakland, CA 94611-4704 | 2019-07-27 |
| 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.