MS. JENNIFER STOLWORTHY SMITH (NPI# 1992024657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992024657 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER STOLWORTHY SMITH |
| Practice Address |
991 Parallel Dr. Ste. B County of Lake, Mental Health Lakeport CA 95453 |
| Practice Telephone | 7072634338 |
| Mailing Telephone | 7072634338 |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2010-05-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497362164 | Jennifer K Smith | Homemaker | 6405 Zachary Dr, Sandusky, OH 44870-8617 | 2020-09-28 |
| 1164038634 | Jennifer Lynn Smith | Technician | 2445 Packs Branch Rd, Mount Hope, WV 25880-6523 | 2020-09-21 |
| 1982215638 | Jennifer D Smith | Technician | 355 Valley View Ave, Keyser, WV 26726-2631 | 2020-08-14 |
| 1760093868 | Jennifer Smith | Social Worker | 8927 Curbaril Ave, Atascadero, CA 93422-5252 | 2020-08-12 |
| 1750905154 | Jennifer Dawn Smith | Registered Nurse | 624 W 1825 N, Centerville, UT 84014-3146 | 2020-06-01 |
| 1497378962 | Jennifer Morgan Smith | Speech-Language Pathologist | 110 Jeremy Ct, Easton, PA 18045-2162 | 2020-05-19 |
| 1811518566 | Jennifer C Smith | Counselor | 111 Red Fawn Rd, Brewster, MA 02631-2058 | 2020-05-05 |
| 1477182400 | Jennifer Eileen Smith | Dietitian, Registered | 7439 Chummley Ct, Falls Church, VA 22043-2938 | 2020-04-02 |
| 1134754526 | Jennifer Weston Smith | Massage Therapist | 1829 Ne 58th St, Seattle, WA 98105-2440 | 2020-03-06 |
| 1588294938 | Jennifer Lynn Smith | Doula | 7291 Enders Ave, San Diego, CA 92122-2808 | 2020-01-23 |
| Street Address |
991 PARALLEL DR. STE. B COUNTY OF LAKE, MENTAL HEALTH |
| City | LAKEPORT |
| State | CA |
| Zip Code | 95453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427526847 | Easter Seals Bay Area | Early Intervention Provider Agency | 1950 Parallel Drive, Lakeport, CA 95453 | 2018-11-03 |
| 1285000810 | Lake County Tribal Health Consortium, Inc. | Clinic/Center | 14678 Lakeshore Boulevard, Clearlake, CA 95453 | 2015-08-18 |
| 1942558721 | Lorena A Watson | Nurse Practitioner | 5108 Hill Road East, Lakeport, CA 95453 | 2012-08-27 |
| 1376720664 | June Arisa Masato | Marriage & Family Therapist | 1152 S. Main St, Lakeport, CA 95453 | 2008-01-29 |
| 1245417021 | Robert Ryan Taylor Sr. | Physical Therapist | 1285 S Main Street, Lakeport, CA 95453 | 2008-01-24 |
| 1760669618 | Joan Kammerer | Registered Nurse | 922 Bevins Court, Lakeport, CA 95453 | 2008-01-23 |
| 1881878353 | Mary Theresa Mcmillan | Marriage & Family Therapist | 75 Fourth Street, Lakeport, CA 95453 | 2007-12-19 |
| 1922288984 | Robert William Krause | Family Medicine | 755 Eleventh St, Lakeport, CA 95453 | 2007-11-07 |
| 1568683092 | Dan Sleeth | Marriage & Family Therapist | 991 Parallel Dr., Lakeport, CA 95453 | 2007-05-01 |
| 1952429052 | Annette Joyce Moynier | Marriage & Family Therapist | 1152 South Main Street, Lakeport, CA 95453 | 2007-03-27 |
| Find all providers in zip 95453 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578175527 | Alma Olga Delgado | Case Manager/Care Coordinator | 1152 S Main St, Lakeport, CA 95453-5517 | 2020-08-20 |
| 1699315895 | Ana Margarita Santana | Case Manager/Care Coordinator | 1510 Argonaut Rd, Lakeport, CA 95453-9361 | 2020-01-15 |
| 1235770934 | Valerie Ann Stark | Case Manager/Care Coordinator | 1510 Argonaut Rd, Lakeport, CA 95453-9361 | 2019-10-03 |
| 1215468020 | Robert Young | Case Manager/Care Coordinator | 1152 S Main St, Lakeport, CA 95453-5517 | 2017-03-23 |
| 1851841282 | Samantha Dean | Case Manager/Care Coordinator | 1152 S Main St, Lakeport, CA 95453-5517 | 2016-10-10 |
| 1346796406 | Victoria Timm | Case Manager/Care Coordinator | 1152 S Main St, Lakeport, CA 95453-5517 | 2016-08-29 |
| 1417403809 | Kimberly Valdez | Case Manager/Care Coordinator | 1152 S Main St, Lakeport, CA 95453-5517 | 2016-08-26 |
| 1225494354 | Revelle Wellock | Case Manager/Care Coordinator | 1152 S Main St, Lakeport, CA 95453-5517 | 2016-01-05 |
| 1952775488 | Suzanne Williams | Case Manager/Care Coordinator | 1152 S Main St, Lakeport, CA 95453-5517 | 2015-11-20 |
| 1184020406 | Heather Henry | Case Manager/Care Coordinator | 1152 S Main St, Lakeport, CA 95453-5517 | 2014-11-13 |
| Find all providers in LAKEPORT | ||||
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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.