Ivan Martinez Gonzalez, LCSW | |
162 E Carson St Ste B, Colusa, CA 95932-2880 | |
(530) 458-0520 | |
(530) 458-7751 |
Full Name | Ivan Martinez Gonzalez |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 162 E Carson St Ste B, Colusa, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497250351 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 113824 (California) | Primary |
Entity Name | County Of Colusa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902929052 PECOS PAC ID: 3173656402 Enrollment ID: O20120405000564 |
Mailing Address | Practice Location Address |
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Ivan Martinez Gonzalez, LCSW 162 E Carson St Ste B, Colusa, CA 95932-2880 Ph: (530) 458-0520 | Ivan Martinez Gonzalez, LCSW 162 E Carson St Ste B, Colusa, CA 95932-2880 Ph: (530) 458-0520 |
Mrs. Brizia Gabriela Tafolla Martinez, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 162 E Carson St Ste A, Colusa, CA 95932 Phone: 530-458-0520 Fax: 530-458-7751 | |
Ms. Margaret Ann Crahan, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 162 E Carson St, Colusa, CA 95932 Phone: 530-458-0520 | |
Mrs. Gemma Mireya Velazquez, BA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 162 E Carson St, Colusa, CA 95932 Phone: 530-458-0520 | |
Angelica Esmeralda Gomez, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 162 E Carson St, Colusa, CA 95932 Phone: 530-662-2211 Fax: 530-662-4315 | |
Susan Marie Bruno, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 162 E Carson St, Colusa, CA 95932 Phone: 530-458-0520 | |
Mark Westley Mcgregor, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 162 E Carson St, Colusa, CA 95932 Phone: 530-458-0520 |