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ALCOHOL AND DRUG PROGRAM-SOUTH LAKE TAHOE
NPI 1063615490
Community/Behavioral Health in South Lake Tahoe, CA

Active since June 05, 2007
1900 LAKE TAHOE BLVD, SOUTH LAKE TAHOE, CA 96150(530) 621-6207 Get Directions Write a Review

NPPES record last updated: September 25, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 25, 2018, Sep 11, 2018, Aug 30, 2017 (3 updates tracked since 2017).

About Alcohol And Drug Program-south Lake Tahoe NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALCOHOL AND DRUG PROGRAM-SOUTH LAKE TAHOE (NPI 1063615490) is a healthcare organization registered as a community/behavioral health in South Lake Tahoe, California and active in the NPI registry since June 2007. The organization lists Salina Marie Drennan, Suds Program Administrator/manager, as its authorized official.

NPPES Registry Identity

NPI1063615490
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCOUNTY OF EL DORADO
Location Address1900 LAKE TAHOE BLVDSouth Lake Tahoe, CA 96150-6305
Mailing Address768 Pleasant Valley Rd Ste 201Diamond Springs, CA 95619-9260 · (530) 621-6146 · Fax (530) 295-2596
Phone(530) 621-6207
Organization SubpartYes
Authorized OfficialSalina Marie DrennanSuds Program Administrator/manager · (530) 621-6207
Enumeration DateJune 5, 2007
Last NPPES UpdateSeptember 25, 20183 updates tracked since enumeration
✔ NPI 1063615490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1900 LAKE TAHOE BLVD, South Lake Tahoe, CA 96150
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Other Names 1

Other NameAlcohol And Drug Program-south Lake Tahoe

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY MARIE MAVON
Case Manager/Care Coordinator
1900 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 573-7927
JASON EDWARD MOORE
Case Manager/Care Coordinator
1900 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 573-7970
DR. JUANITA LERMA HERNANDEZ-MORIN PSY.D.
Psychologist (Clinical)
1900 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 573-7993
SHERESE CHRETIEN
Psychologist
1900 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 573-7909
ELIZABETH DRABANT
Social Worker (Clinical)
1900 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 573-7970
SHEREE SMAIL
Case Manager/Care Coordinator
1900 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 573-7861
SUSAN ARIANA TARISA BENHAM
Social Worker
1900 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 318-4824
MR. CHRISTOPHER HOWARD CROMWELL BACHELORS OF ARTS
Counselor (Mental Health)
1900 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 573-3251

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is County Of El Dorado's NPI number?

The NPI number for County Of El Dorado is 1063615490. It was assigned to this organization in the NPPES registry on June 5, 2007. The provider is also known as Alcohol And Drug Program-South Lake Tahoe.

Where is County Of El Dorado located?

County Of El Dorado is located at 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150. The listed phone number is (530) 621-6207.

What is County Of El Dorado's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for County Of El Dorado was last updated on September 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.