Diane Caroline Lopez, MSW, LCSW | |
10775 Pioneer Trl Ste 215, Truckee, CA 96161-0234 | |
(415) 424-4266 | |
(415) 520-6633 |
Full Name | Diane Caroline Lopez |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 10775 Pioneer Trl Ste 215, Truckee, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154805992 | NPI | - | NPPES |
100385276 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0904016530 (Virginia) | Secondary |
1041C0700X | Social Worker - Clinical | 114739 (California) | Primary |
Entity Name | Grow Healthcare Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
Mailing Address | Practice Location Address |
---|---|
Diane Caroline Lopez, MSW, LCSW 10775 Pioneer Trl Ste 215, Truckee, CA 96161-0234 Ph: (415) 424-4266 | Diane Caroline Lopez, MSW, LCSW 10775 Pioneer Trl Ste 215, Truckee, CA 96161-0234 Ph: (415) 424-4266 |
Kuan Hsuan Tu, MSW, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10775 Pioneer Trl Ste 215, Truckee, CA 96161 Phone: 415-424-4266 Fax: 415-520-6633 | |
Ms. Giselle Marie Salas, MSW, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10775 Pioneer Trl Ste 215, Truckee, CA 96161 Phone: 415-424-4266 Fax: 415-520-6633 | |
Amy Jennifer Phillips, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10775 Pioneer Trl Ste 215, Truckee, CA 96161 Phone: 415-424-4266 Fax: 415-520-6633 | |
Amanda Lynn Neeleman, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 10775 Pioneer Trl Ste 215, Truckee, CA 96161 Phone: 415-424-4266 Fax: 415-520-6633 | |
Tanya Reynoso, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 10121 Pine Ave, Truckee, CA 96161 Phone: 530-587-6011 | |
Elvia F Mendez, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10775 Pioneer Trl Ste 215, Truckee, CA 96161 Phone: 415-424-4266 Fax: 415-520-6633 |