Alicia Dueck, LCSW | |
77 Casa St, San Luis Obispo, CA 93405-5803 | |
(805) 269-1500 | |
Not Available |
Full Name | Alicia Dueck |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 77 Casa St, San Luis Obispo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1144629890 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | 95867 (California) | Primary |
Entity Name | Community Health Centers Of The Central Coast Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336166248 PECOS PAC ID: 7416868120 Enrollment ID: O20040115001161 |
Mailing Address | Practice Location Address |
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Alicia Dueck, LCSW 2050 S Blosser Rd, Santa Maria, CA 93458-7310 Ph: (805) 361-8028 | Alicia Dueck, LCSW 77 Casa St, San Luis Obispo, CA 93405-5803 Ph: (805) 269-1500 |
Douglas Wayne Ballagh, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Highway 1, San Luis Obispo, CA 93409 Phone: 805-547-7900 | |
Mrs. Divina Gabuat, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2178 Johnson Ave, San Luis Obispo, CA 93401 Phone: 805-781-4752 | |
Andrea Diane Orr, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Colony Rd, San Luis Obispo, CA 93409 Phone: 805-709-3508 | |
Mr. William E. Watson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Colony Drive, San Luis Obispo, CA 93409 Phone: 547-790-0805 | |
Coleen Buckley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2178 Johnson Ave, San Luis Obispo, CA 93401 Phone: 805-781-4700 | |
Ms. Francine Lorraine Jansen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1124 Nipomo Street, Suite A, San Luis Obispo, CA 93401 Phone: 805-541-7911 Fax: 805-595-7989 |