Heather Lynn Stout, LCSW | |
3900 Alamo St, Simi Valley, CA 93063-2111 | |
(833) 574-2273 | |
Not Available |
Full Name | Heather Lynn Stout |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 3900 Alamo St, Simi Valley, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962659128 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 63590 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Heather Lynn Stout, LCSW 12450 Van Nuys Blvd, Pacoima, CA 91331-1391 Ph: (626) 395-7100 | Heather Lynn Stout, LCSW 3900 Alamo St, Simi Valley, CA 93063-2111 Ph: (833) 574-2273 |
Ms. Julie Cristiano, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3855-f Alamo St, Suite 2032, Simi Valley, CA 93063 Phone: 805-582-7505 Fax: 805-582-7514 | |
Betty Gutman, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1424 Madera Rd, Simi Valley, CA 93065 Phone: 805-522-5722 Fax: 805-915-4141 | |
Mrs. Alexis Carmen Lopez, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1227 E Los Angeles Ave, Simi Valley, CA 93065 Phone: 805-582-4080 Fax: 805-579-6010 | |
Salma Masood Khan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3655 Alamo St Ste 202, Simi Valley, CA 93063 Phone: 747-800-1834 | |
Rebecca Lomonaco, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2655 1st St Ste 250, Simi Valley, CA 93065 Phone: 805-214-8342 | |
Maureen Patricia Finkle, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1687 Erringer Rd Ste 106, Simi Valley, CA 93065 Phone: 818-755-8876 | |
Mirna Pina, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2900 N Madera Rd, Simi Valley, CA 93065 Phone: 805-253-3184 |