| Jamal Watkins, | |
|
9328 Elk Grove Blvd Ste 105-217, Elk Grove, CA 95624-5063 | |
| (916) 226-4949 | |
| Not Available |
| Full Name | Jamal Watkins |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 9 Years |
| Location | 9328 Elk Grove Blvd Ste 105-217, Elk Grove, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770108433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW16306 (Florida) | Secondary |
| 1041C0700X | Social Worker - Clinical | 108203 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Blue Moon Senior Counseling Of California Llc | 9335360981 | 59 |
| 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 | Grow Healthcare Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
| Entity Name | The Self-care Academy, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487489332 PECOS PAC ID: 3971038241 Enrollment ID: O20241122002417 |
| Mailing Address | Practice Location Address |
|---|---|
| Jamal Watkins, 9328 Elk Grove Blvd Ste 105-217, Elk Grove, CA 95624-5063 Ph: () - | Jamal Watkins, 9328 Elk Grove Blvd Ste 105-217, Elk Grove, CA 95624-5063 Ph: (916) 226-4949 |
Kimberly T Johnson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9201 Big Horn Blvd, Elk Grove, CA 95758 Phone: 916-478-5861 | |
Miss Betty Jung, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9412 Big Horn Blvd Ste 6, Elk Grove, CA 95758 Phone: 916-879-3940 | |
Miss Unwam I Oduok, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9340 E Stockton Blvd, Elk Grove, CA 95624 Phone: 916-509-8198 | |
Mr. Mark Villarreal, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8841 Williamson Dr Ste 20, Elk Grove, CA 95624 Phone: 408-655-8358 Fax: 916-686-5552 | |
Mr. David B Fahn, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12500 Bruceville Rd, Elk Grove, CA 95757 Phone: 916-874-1042 | |
Tara Courtney Obidigbo, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3161 Dwight Rd, Elk Grove, CA 95758 Phone: 916-427-7141 | |
Anita Marie Hattendorf, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 8861 Williamson Dr Ste 40, Elk Grove, CA 95624 Phone: 916-685-5258 Fax: 916-670-7880 |