VIRGINIA CLAIRE BREEDLOVE - NPI 1487293411 - Social Worker in Santa Cruz, CA

Q: What is Virginia Breedlove's NPI number?

The NPI number for Virginia Breedlove is 1487293411. It was assigned to this individual provider in the NPPES registry on December 20, 2019.

Q: What is Virginia Breedlove's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

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About Virginia Claire Breedlove NPPES

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

VIRGINIA CLAIRE BREEDLOVE (NPI 1487293411) is an individual clinical provider in Santa Cruz, California, licensed in California (117629) and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1487293411

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameVIRGINIA CLAIRE BREEDLOVE

Location Address2115 7TH AVESanta Cruz, CA 95062-1663

Mailing AddressPo Box 1263Winnsboro, LA 71295-1263

Phone(831) 420-0120

Sole ProprietorNo

Enumeration DateDecember 20, 2019

Last NPPES UpdateAugust 24, 20234 updates tracked since enumeration

NPPES CertifiedAugust 24, 2023

✔ NPI 1487293411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in CA · 117629✔ Licensed in FL · TPSW3157✔ Licensed in UT · 13429368-3501✔ Licensed in LA · 18102

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.

2115 7TH AVE, Santa Cruz, CA 95062

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Other Identifiers 1

Medicaid1487293411CA

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.

FRONT STREET

Community Based Residential Treatment Facility, Mental Illness