Destiny Marie Newberry
Individual provider Active NPI Day Training/Habilitation Specialist · Taft, CA
NPI 1003564907 · NPPES record last updated Mar 18, 2025
Key facts
- NPI
- 1003564907
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Day Training/Habilitation Specialist 373H00000X
- Practice address
- 1021 4TH St
Taft, CA 93268-2433 - Phone
- (661) 765-7025
- NPI assigned
- Mar 10, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| College Community Services | Current |
Accepting new patients |
Locations
1021 4th St
Taft, CA 93268
Phone (661) 745-0012
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | CA | ||
| Community Health Worker | 172V00000X | |||
| Peer Specialist | 175T00000X | |||
| Day Training/Habilitation Specialist | 373H00000X | Yes |
Addresses
Primary practice location
1021 4TH St
Taft, CA 93268-2433
Mailing address
1021 4TH St
Taft, CA 93268-2433
Phone (661) 765-7025
Other providers in Taft, CA
- Frank Ray Mesa Sr.
- Leslie Anne Monty
- Courtney Anna Ruth Morris
- Lew Ed Musselman Jr.
- Narayn Corporation
- Gregory K Newton
- Christian Quang Nguyen
- Karen Nguyen
- Angelina Elizabeth Nichols
- Ndukwe Nwora Odeluga
All providers in Taft, CA · Day Training/Habilitation Specialist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.