Jason Lee Paul Wayrynen
Social Worker (Clinical)

Address: 1219 N Carpenter Rd Ste 12, Modesto, CA 95351
Phone: 2095690713

Jason Lee Paul Wayrynen (NPI# 1124345616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1124345616
Entity Type Individual
Full Name Jason Lee Paul Wayrynen
Credential BS
Gender Male
Practice Address 1219 N Carpenter Rd Ste 12
CA 95351
Practice Telephone 2095690713
Mailing Address 1219 N Carpenter Rd Ste 12
CA 95351-1215
Mailing Telephone 6053605360
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2010-04-23
Last Update Date 2018-09-10

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 171M00000X Case Manager/Care Coordinator Other Service Providers
Yes 1041C0700X Social Worker · Clinical Behavioral Health & Social Service Providers 79884 CA

Secondary Practice Locations

Address Telephone Number Fax Number
1620 Cummins Dr, Modesto, CA 953586400 2095761750 2095761768

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
1164943049 Vanessa Selene Tinajero Social Worker 1200 Ricardo Way, Modesto, CA 95351-7100 2017-06-30
1013387844 Diana Faith Kigenyi Social Worker 1225 Oakdale Road, Modesto, CA 95355 2015-10-06
1043619380 Fanny Cortez Social Worker 121 Downey Ave Apt 120, Modesto, CA 95354-1208 2014-08-21
1487083747 Andrea Tong Social Worker 4601 Dale Rd, Modesto, CA 95356-9718 2013-11-07
1518205236 Veronica Renee Tovar Social Worker 803 Coffee Rd Ste 10, Modesto, CA 95355-4244 2013-01-31
1649538869 Maria Guadalupe Rameno Social Worker 1604 Ford Ave Ste 2b, Modesto, CA 95350-4649 2012-04-25
1952674947 Kimberly Wright Social Worker 1832 Encina Ave, Modesto, CA 95354-1502 2012-02-22
1083921977 Michelle Riley Social Worker 3340 Tully Rd Ste D4, Modesto, CA 95350 2010-09-13
1952626392 Jennifer Ellen Cooper Social Worker 800 Coffee Rd, Modesto, CA 95355-4233 2010-03-29
1063643930 Jennifer Lee Johnson Social Worker 1321 I St Ste 3, Modesto, CA 95354-0902 2009-07-27
Find all providers in MODESTO

Office Location

Street Address 1219 N CARPENTER RD STE 12
State CA
Zip Code 95351

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700392487 Western Dental Services, Inc. Dentist 1524 Richland Ave, Ceres, CA 95351 2017-12-18
1881039873 Sabrina Arora-thissen Family Medicine 401 Paradise Rd. Ste, Modesto, CA 95351 2013-05-03
1407163561 Maliza Cahee Oliver Dentist 1404 Mitchell Rd, Modesto, CA 95351 2010-09-09
1841469640 Edgar Hse-hwa Han Physical Medicine & Rehabilitation 1521 N. Carpenter Road, Suite D-1, Modesto, CA 95351 2008-02-26
1326259326 Karen Ann Peterson Nurse Practitioner 1340 Mitchell Rd, Modesto, CA 95351 2007-05-24
1013139054 Bounchanh Trysavath Physician Assistant 300 I St, Modesto, CA 95351 2007-05-02
1245363464 Sharon Basaldua1 Counselor 813 Moon Lane, Modesto, CA 95351 2007-03-14
1710046834 Phil Chen Dentist 1460 Mitchell Road, Suite B, Modesto, CA 95351 2006-12-06
1649366055 Victor Y. Chen Family Medicine 401 Paradise Road, Suite E, Modesto, CA 95351 2006-10-04
1487679296 Ronald M Megee Chiropractor 2507 East Hatch Rd., Suite B, Modesto, CA 95351 2006-07-13
Find all providers in zip 95351


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Zip Code 95351

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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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