Carol Mo, | |
150 Muir Rd, Martinez, CA 94553-4668 | |
(925) 370-4739 | |
Not Available |
Full Name | Carol Mo |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 150 Muir Rd, Martinez, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225417066 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW88523 (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 |
---|---|
Carol Mo, 150 Muir Rd, Martinez, CA 94553-4668 Ph: (925) 370-4739 | Carol Mo, 150 Muir Rd, Martinez, CA 94553-4668 Ph: (925) 370-4739 |
Ms. Stacy Lee Studebaker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 150 Muir Rd, Martinez, CA 94553 Phone: 925-580-5950 | |
Jacqueline Green-garvey, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 150 Muir Rd, Martinez, CA 94553 Phone: 925-372-2000 | |
Allyse Pratt, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1330 Arnold Drive, #148, Martinez, CA 94553 Phone: 925-310-6311 | |
Cindy Gonzalez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1320 Arnold Dr, Suite 160, Martinez, CA 94553 Phone: 925-229-5400 Fax: 925-229-5406 | |
Mr. Gary Noveda Cabardo, MSW, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 150 Muir Rd, Martinez, CA 94553 Phone: 925-370-4739 Fax: 925-370-4792 | |
Alex Rodriguez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 150 Nuir Road, Martinez, CA 94553 Phone: 925-372-2000 | |
Mr. Donald Wayne Hull, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 150 Muir Rd, Social Work Services, Martinez, CA 94553 Phone: 925-370-4715 Fax: 925-370-4712 |