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National Provider Identifier (NPI) Wholistic Healing Licensed Clinical Social Worker Inc · Clinical Social Worker3350 Shelby St Ste 200, Suite 200, Ontario, CA 91764-5556Overview Wholistic Healing Licensed Clinical Social Worker Inc is a Clinical Social Worker (organization) practicing in Ontario, California. The National Provider Identifier (NPI) is #1619715711, which was assigned on July 15, 2024, and the registration record was last updated on September 19, 2025. The practitioner's main practice location is at 3350 Shelby St Ste 200, Suite 200, Ontario, CA 91764-5556; the contact telephone number is 6262013569. The primary taxonomy of Wholistic Healing Licensed Clinical Social Worker Inc is Clinical Social Worker (1041C0700X), with specialization in Clinical. The authorized official for Wholistic Healing Licensed Clinical Social Worker Inc is Ms. Sally Amaya (President/Owner). 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. Provider Information NPI 1619715711Entity Type Organization Organization Name WHOLISTIC HEALING LICENSED CLINICAL SOCIAL WORKER INC Provider Name WHOLISTIC HEALING LICENSED CLINICAL SOCIAL WORKER INC Practice Address 3350 Shelby St Ste 200 Suite 200 Ontario CA 91764-5556 Practice Telephone 6262013569 Mailing Address 3350 Shelby St Ste 200 Ontario CA 91764-5556 Mailing Telephone 6262013569 Certification Date 2025-09-19 Enumeration Date 2024-07-15 Last Update Date 2025-09-19 Is Organization Subpart N Authorized Official Information Official Name MS. SALLY AMAYA Official Title PRESIDENT/OWNER Telephone 6262013569 Taxonomy and Licenses PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State Y 1041C0700X Social Worker Clinical 193400000X SINGLE SPECIALTY GROUP Taxonomy Information Primary Taxonomy
Code
1041C0700X
Location Information
Street Address
3350 SHELBY ST STE 200 Providers in the same location Provider NameAddressTaxonomyEnumeration Date Paul Allen Jr. 3350 Shelby St Ste 200, Ontario, CA 91764-5556 Marriage & Family Therapist 2015-12-19 May Akalemeaku 3350 Shelby St Ste 200, Ontario, CA 91764-5556 Psychiatric/Mental Health Nurse Practitioner 2023-07-05 Jesse Perez 3350 Shelby St Ste 200, Ontario, CA 91764-5556 Behavior Technician 2019-10-29 Dagoberto Hernandez Jr. 3350 Shelby St Ste 200, Ontario, CA 91764-5556 Behavior Technician 2020-08-12 Jazmine Chavez 3350 Shelby St Ste 200, Ontario, CA 91764-5556 Behavioral Analyst 2020-03-30 Jemilla White 3350 Shelby St Ste 200 #1064, Ontario, CA 91764-5556 Doula 2019-05-14 Hue of Mental Health Family Therapy Incorporation 3350 Shelby St Ste 200, Ontario, CA 91764-5556 Case Manager/Care Coordinator 2024-01-25 Ashley Saldana Licensed Clinical Social Worker PC 3350 Shelby St Ste 200, Ontario, CA 91764-5556 Mental Health Clinic/Center (Including Community Mental Health Center) 2021-09-06 Shawntee Clark 3350 Shelby St Ste 200, Ontario, CA 91764-5556 Marriage & Family Therapist 2025-10-06 Providers in the same zip code Provider NameAddressTaxonomyEnumeration Date Iveliess Stevenson 3333 E Concours St, Ontario, CA 91764 Behavior Technician 2025-09-23 Sirena Taliesin-Sudy 4688 Ontario Mills Pkwy, Ontario, CA 91764 Behavior Technician 2025-07-29 Bridget Bushong 1320 N Berlyn Ave, Ontario, CA 91764-1907 Speech-Language Pathologist 2025-12-12 Christian Buenrostro 515 E 6th St, Ontario, CA 91764-1818 Community Health Worker 2025-12-02 Alicia Rosales · Alicia Arroyo 1700 E 7th St, Ontario, CA 91764-1299 Community Health Worker 2025-11-18 Jessie Huerta 2027 E Deodar St, Ontario, CA 91764-1624 Rehabilitation Practitioner 2016-06-02 Kellie Cervantes 1320 N Berlyn Ave, Ontario, CA 91764-1907 Health & Wellness Coach 2026-01-08 Kim-Chau Drew Dang 2000 Inland Empire Blvd Unit 2276, Ontario, CA 91764-0830 Student in an Organized Health Care Education/Training Program 2025-08-20 Ashley Meuret 1320 N Berlyn Ave, Ontario, CA 91764-1907 Speech-Language Pathologist 2025-12-17 Elva Enciso 1700 E 7th St, Ontario, CA 91764-1204 Health & Wellness Coach 2025-11-12 Find all providers in the same zip code Similar Providers Providers with similar names
Provider NameAddressTaxonomyEnumeration Date Improve Information Do you have more infomration about Wholistic Healing Licensed Clinical Social Worker Inc? Please fill in the following form. Dataset Information This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc. Subject Transparency and DisclosureJurisdiction Federal Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) Source download.cms.gov Dataset Details The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. (责任编辑：) |