KATELYN JEANNE OUIMET (NPI# 1518556604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518556604 |
| Entity Type | Individual |
| Full Name | KATELYN JEANNE OUIMET |
| Gender | Female |
| Credential | LICSW |
| Practice Address | 4055 Park Blvd San Diego CA 92103-2619 |
| Practice Telephone | 8606815383 |
| Mailing Address | 1286 University Ave # 736 San Diego CA 92103-3312 |
| Mailing Telephone | 8606815383 |
| Certification Date | 2021-01-13 |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2021-01-13 |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 1041C0700X | Social Worker Specialization: Clinical | 97853 | CA | Behavioral Health & Social Service Providers | |
| N | 1041C0700X | Social Worker Specialization: Clinical | 122488 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | LICSW | 122488 | Other |
| Street Address | 4055 PARK BLVD |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-2619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487896742 | Elfadil Mawia Habbani | Private Vehicle | 4027 1/2 Park Blvd, San Diego, CA 92103-2619 | 2009-04-01 |
| 1699985697 | Keith D. Vrhel Md Inc. · Park Center for Health | Internal Medicine | 4067 Park Blvd, San Diego, CA 92103-2619 | 2007-05-22 |
| 1184757494 | John Rego | Marriage & Family Therapist | 4009 Park Blvd, #14, San Diego, CA 92103-2619 | 2007-03-14 |
| 1023322468 | S. Steven Podstreleny, Dds, PC · Park Blvd Oral Surgery | Dentist · Oral and Maxillofacial Surgery | 4067 Park Blvd, San Diego, CA 92103-2619 | 2010-07-27 |
| 1609014968 | Jodi Brianne Schulman | Social Worker · Clinical | 4009 Park Blvd, #14, San Diego, CA 92103-2619 | 2009-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker · Clinical | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-Ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor · Mental Health | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell · Tori Breanne Ragan | Occupational Therapist · Pediatrics | 3731-A 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
| Find all providers in zip 92103 | ||||
| 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 |
|---|---|---|---|---|
| 1992395677 | Sonya Davis | 236 Kalmia St Apt 303, San Diego, CA 92101-1555 | 2021-01-26 | |
| 1568051308 | Jennifer Ann Burgraff | 6867 Golfcrest Dr Apt 57, San Diego, CA 92119-2444 | 2021-01-15 | |
| 1801485974 | Jennifer De Wildt | 4550 Kearny Villa Rd Ste 114, San Diego, CA 92123-1574 | 2021-01-13 | |
| 1720677180 | Teri Ashley Dunbar | 4452 Highland Ave Apt 1, San Diego, CA 92115-4345 | 2021-01-11 | |
| 1194338087 | Courage Over Comfort Counseling Licensed Clinical Social Worker PC | 4283 El Cajon Blvd Ste 226, San Diego, CA 92105-1289 | 2020-08-28 | |
| 1619580057 | Joseph Stephen Mcconico | 5274 Mount Alifan Dr, San Diego, CA 92111-2621 | 2020-08-25 | |
| 1821600529 | David James Prince | 1498 13th Street Bldg 184, San Diego, CA 98132 | 2020-08-24 | |
| 1407467392 | Tyler Drew Willis | 4665 Voltaire St, San Diego, CA 92107-1762 | 2020-08-13 | |
| 1174132575 | Sarah Greenstein | 11860 Carmel Creek Rd, San Diego, CA 92130-2474 | 2020-07-31 | |
| 1730798190 | Joelle G Johnson | 4904 Mansfield St, San Diego, CA 92116-1936 | 2020-07-30 | |
| Find all providers in SAN DIEGO | ||||
| City | SAN DIEGO |
| Zip Code | 92103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013533520 | Katelyn Jeanne Richter · Katelyn Jeanne Burns | Nurse Practitioner · Family | 2111 Landmark Cir Nw, Minot, ND 58703-1967 | 2020-06-20 |
| 1023622230 | Joanne Perdu-Ouimet · Joanne Ouimet | Behavior Analyst | Incredible Changes, 4191 Waterway Dr., Dumfries, VA 22025 | 2020-09-04 |
| 1194100495 | Jeanne Katelyn Bryan | Pharmacist | 480 Montauk Hwy, Bay Shore, NY 11706-8502 | 2015-07-28 |
| 1619430907 | Katelyn Jeanne Wilson | Military Health Care Provider | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5153 | 2019-04-12 |
| 1235400102 | Katelyn Jeanne Laracy | Nurse Practitioner · Pediatrics | 300 Longwood Ave, Department of Neurology Fegan 11, Boston, MA 02115-5724 | 2012-01-24 |
| 1477690998 | Diane Ouimet | Speech-Language Pathologist | 350 Gnarled Oak St, Pickerington, OH 43147-2228 | 2007-02-01 |
| 1487198362 | Lisa Ouimet | Behavior Analyst | 17 Pray St, Amherst, MA 01002-2110 | 2016-12-12 |
| 1821097106 | Claude Ouimet | Family Medicine | 1400 6th Ave S, Birmingham, AL 35233-1502 | 2005-07-19 |
| 1659743284 | Michael Ouimet | Pharmacist | 108 Route 44, Millerton, NY 12546 | 2015-10-22 |
| 1891898466 | Philippe Ouimet | Acupuncturist | 342 Augusta Rd, Ste 2, Winslow, ME 04901 | 2006-09-07 |
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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.