George 'dean' White, LCSW | |
768 Mountain Ranch Rd, San Andreas, CA 95249-9707 | |
(209) 754-2538 | |
Not Available |
Full Name | George 'dean' White |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 768 Mountain Ranch Rd, San Andreas, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366571408 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 20788 (California) | Primary |
Entity Name | Mark Twain Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508968819 PECOS PAC ID: 8820073711 Enrollment ID: O20061006000227 |
Mailing Address | Practice Location Address |
---|---|
George 'dean' White, LCSW 2338 N Alpine Rd, Stockton, CA 95215-9763 Ph: (209) 931-5004 | George 'dean' White, LCSW 768 Mountain Ranch Rd, San Andreas, CA 95249-9707 Ph: (209) 754-2538 |
Christa Thompson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 23 W Saint Charles St, San Andreas, CA 95249 Phone: 209-813-2083 | |
Karen Pekarcik, LCSW 80071 Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 564 Mountain Ranch Rd, San Andreas, CA 95249 Phone: 209-256-4689 Fax: 209-498-2042 | |
Mr. Francis Mark Mccormick, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 891 Mountain Ranch Rd, San Andreas, CA 95249 Phone: 209-754-6525 | |
Karen Karam, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 704 Mountain Ranch Rd, San Andreas, CA 95249 Phone: 209-754-4410 | |
Suzanne Ballen, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 891 Mountain Ranch Rd, San Andreas, CA 95249 Phone: 209-754-6525 | |
Pilar Coppers, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16b Main Street, San Andreas, CA 95249 Phone: 805-458-2154 |