Benjamin Hideo Tadokoro, LCSW | |
6600 Bruceville Rd, Sacramento, CA 95823-4671 | |
(916) 688-6815 | |
Not Available |
Full Name | Benjamin Hideo Tadokoro |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 6600 Bruceville Rd, Sacramento, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053476044 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCS21546 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Benjamin Hideo Tadokoro, LCSW 6600 Bruceville Rd, Sacramento, CA 95823-4671 Ph: (916) 688-6815 | Benjamin Hideo Tadokoro, LCSW 6600 Bruceville Rd, Sacramento, CA 95823-4671 Ph: (916) 688-6815 |
Barbara Jean Ballif, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4300 Auburn Blvd, Suite 203, Sacramento, CA 95841 Phone: 916-486-1443 Fax: 916-483-1428 | |
Kathy Metoyer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2130 Stockton Blvd # 100, Sacramento, CA 95817 Phone: 916-639-4853 | |
Suzanne Jane Glidewell, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9343 Tech Center Dr, Second Floor, Sacramento, CA 95826 Phone: 916-388-6397 Fax: 916-875-9970 | |
Yesenia Fuentes Jones, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2130 Stockton Blvd Ste 300, Sacramento, CA 95817 Phone: 916-743-2254 | |
Eileen Heinrich, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3331 Power Inn Rd Ste 180, Sacramento, CA 95826 Phone: 916-862-0089 Fax: 916-875-9894 | |
Ms. Susan C Bacalman, M.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2825 50th St, Sacramento, CA 95817 Phone: 916-703-0305 Fax: 916-703-0340 | |
Karen Sackheim, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2020 J St, Sacramento, CA 95811 Phone: 916-341-0576 |