EAST VALLEY TRAUMA COUNSELING LLC


Address: 1166 E Warner Rd Ste 206, Gilbert, AZ 85296-3066
Phone: 4804627728

EAST VALLEY TRAUMA COUNSELING LLC (NPI# 1992227235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992227235
Entity Type Organization
Organization Name EAST VALLEY TRAUMA COUNSELING LLC
Practice Address 1166 E Warner Rd Ste 206
Gilbert
AZ 85296-3066
Mailing Address 3641 W Laredo St
Chandler
AZ 85226-2233
Practice Telephone 4804627728
Practice Fax Number 4804521530
Mailing Telephone 4807764155
Enumeration Date 2017-07-07
Last Update Date 2019-10-29
Authorized Official Name STACY DELUCA (BILLING MANAGER)
Authorized Official Telephone 6027413077
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
16034 AZ Behavioral Health & Social Service Providers

Office Location

Street Address 1166 E WARNER RD STE 206
City GILBERT
State AZ
Zip Code 85296-3066

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124625793 Gilbert Crossroads Kids' Dentists and Orthodontics, LLP Dentist 835 S. Gilbert Rd, Suite 104, Gilbert, AZ 85296 2020-10-06
1306455969 Calm Care Living Community/Behavioral Health 1525 S Higley Rd, #104-6769, Gilbert, AZ 85296 2020-07-29
1366080970 Hannah Golladay Behavior Technician 1166 S Gilbert Road, Suite 106, Mesa, AZ 85296 2019-12-13
1194284729 Kege Health, LLC Nurse Practitioner 1206 E Warner Rd Ste 101f, Gilbert, AZ 85296 2019-03-13
1841757762 Windhorse Counseling Counselor 1166 E Warner Road, Suite 203, Gilbert, AZ 85296 2019-02-27
1417424284 Ashton N Wright Behavior Technician 1166 E Gilbert Rd, #106, Gilbert, AZ 85296 2018-10-30
1346717246 Robison Orthodontics LLC Dentist 1355 S Higley Rd # 105, Gilbert, AZ 85296 2018-10-29
1518441831 Kara Lyn Holyoak Physician Assistant 1359 S. Porter St., Gilbert, AZ 85296 2018-09-21
1225519119 Jennifer Anne Goodman Specialist/Technologist 70 S Val Vista Dr A3, Gilbert, AZ 85296 2018-08-28
1437642329 Greta Shumway Counselor 690 E. Warner Road, #115, Gilbert, AZ 85296 2018-06-14
Find all providers in zip 85296

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497395867 Bethany Mcdonald Social Worker 132 W Bruce Ave, Gilbert, AZ 85233-5404 2020-01-13
1083263453 Jessica Shoff Social Worker 70 S Val Vista Dr Ste A3-659, Gilbert, AZ 85296-1374 2019-09-09
1578118527 Clara Latese Davis Social Worker 1525 S Higley Rd Ste 104, Gilbert, AZ 85296-5045 2019-08-07
1255995627 Suzanne Renee Walker Social Worker 3887 E Santa Fe Ln, Gilbert, AZ 85297-3537 2019-04-30
1184190316 Amanda Royce Social Worker 4332 E Marshall Ave, Gilbert, AZ 85297-6648 2018-10-15
1225503634 Julia Elizabeth Wiens Social Worker 3651 E Baseline Rd Ste 120, Gilbert, AZ 85234 2018-10-11
1215410600 Jordan Helms Social Worker 323 S Gilbert Rd Ste 209, Gilbert, AZ 85296-1659 2018-09-11
1952754384 Iona Dease Social Worker 632 W Horseshoe Ave, Gilbert, AZ 85233-6371 2016-07-20
1396115242 Lavon J Schmidt Social Worker 4635 E Sourwood Dr, Gilbert, AZ 85298-4618 2015-10-05
1811364748 Durene Marie Monz Social Worker 3835 S Vineyard Ave, Gilbert, AZ 85297-3502 2015-08-26
Find all providers in GILBERT

Competitor

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City GILBERT
Zip Code 85296

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Dataset Information

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.

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