Dorene Fanning, LCSW | |
2051 John Jones Rd, Davis, CA 95616-9701 | |
(530) 753-3498 | |
Not Available |
Full Name | Dorene Fanning |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2051 John Jones Rd, Davis, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831523711 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCS29760 (California) | Primary |
Entity Name | Hisham Soliman Md Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700199080 PECOS PAC ID: 9436282191 Enrollment ID: O20100802000172 |
Entity Name | Rose-marie Y. Nieto |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477760874 PECOS PAC ID: 2163556531 Enrollment ID: O20100820000444 |
Entity Name | Blue Moon Senior Counseling Of California Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447678990 PECOS PAC ID: 9335360981 Enrollment ID: O20141023000497 |
Entity Name | Lumen Health And Psychological Services Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366978843 PECOS PAC ID: 5799012266 Enrollment ID: O20190806002444 |
Entity Name | H Soliman Medical Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093429581 PECOS PAC ID: 9335505429 Enrollment ID: O20230516000579 |
Mailing Address | Practice Location Address |
---|---|
Dorene Fanning, LCSW Po Box 1260, Davis, CA 95617-1260 Ph: () - | Dorene Fanning, LCSW 2051 John Jones Rd, Davis, CA 95616-9701 Ph: (530) 753-3498 |
Terri Hiroshima-chan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 112 A St, Davis, CA 95616 Phone: 530-752-2727 Fax: 530-752-4542 | |
Ms. Nancy Gail Edgar, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 A St, Davis, CA 95616 Phone: 530-757-5532 Fax: 530-757-5533 | |
Mr. Milton Kalish, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 613 G St, Ste. A, Davis, CA 95616 Phone: 530-753-1331 | |
Vinita Quinones, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 33100 County Road 31, Davis, CA 95616 Phone: 530-702-6021 | |
Mrs. Andrea Bixson Stone, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 429 F St, Suite 5, Davis, CA 95616 Phone: 530-753-8878 | |
Dulce M Ruatti, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 212 I St, Davis, CA 95616 Phone: 530-601-5959 | |
David Norman Mendelmar, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 105 E St Ste 2e, Davis, CA 95616 Phone: 707-254-2656 |