David Alan Resnikoff

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

DAVID ALAN RESNIKOFF

Practice address

2901 Park Ave # B8
Soquel, CA 95073-2831

Phone

(831) 471-5044

NPI assigned

Sep 24, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David Alan Resnikoff, MSW, LCSWNPI 1780830513

Title

Owner

Phone

(831) 471-5044

Specialties & licenses 1

Addresses

Other names 1

• Santa Cruz Clinical Social Work Service Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Alan Resnikoff, LCS

  • Clinical Social Worker
  • Santa Cruz, CA
  • NPI 1780830513

  Clinical

  NPD Authorized official
• Meghan McGoldrick Smith, LCSW

  • Clinical Social Worker
  • Santa Cruz, CA
  • NPI 1972033488

  Clinical

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578009600000",
    "number": "1194376830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 514",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950610514",
            "telephone_number": "831-471-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 PARK AVE # B8",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950732831",
            "telephone_number": "831-471-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID ALAN RESNIKOFF",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-24",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A",
        "authorized_official_last_name": "RESNIKOFF",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "831-471-5044",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Cruz Clinical Social Work Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexandra Michael Cowper, CNM
• Elizabeth Crawford, ASW, PPSC, CWA
• Julia Diane Crawford, MD
• Michael Dacey, MD
• Lusijah Sutherland Darrow, LMFT
• Jennifer Jean Davis, M.D.
• Rose A Deakers, PT
• Michelle Kim Dean, LAC
• Camille Ditter, LCSW
• Elizabeth Dorsey, BETH DORSEY, L.AC.

• All providers in Soquel, CA
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.