| Mr Jeremy Lee Mace, LCSW | |
|
475-750 Rice Canyon Road, Susanville, CA 96127 | |
| (530) 251-5100 | |
| Not Available |
| Full Name | Mr Jeremy Lee Mace |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 475-750 Rice Canyon Road, Susanville, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750719480 | NPI | - | NPPES |
| 3411849631 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 129074-121 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW74014 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jeremy Lee Mace, LCSW 5700 Dowdell Ave Unit 143, Rohnert Park, CA 94928-4124 Ph: (262) 290-6529 | Mr Jeremy Lee Mace, LCSW 475-750 Rice Canyon Road, Susanville, CA 96127 Ph: (530) 251-5100 |
Heidi Simon, ASW 101843 Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 702-130 Richmond Rd E, Susanville, CA 96130 Phone: 530-257-5644 | |
Mr. Scott Douglas Nordstrom, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 555 Hospital Ln, Susanville, CA 96130 Phone: 530-251-8199 Fax: 530-251-2662 | |
Melissa Huffman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 555 Hospital Ln, Susanville, CA 96130 Phone: 530-251-8721 | |
Michaela Ware, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 709-855 Tamarack St, Susanville, CA 96130 Phone: 707-968-1077 | |
Terri Kathleen O'bryan, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 795 Joaquin St, Susanville, CA 96130 Phone: 530-252-4667 Fax: 530-257-1101 | |
Ms. Debbie Ann Rives, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 555 Hospital Ln, Susanville, CA 96130 Phone: 530-251-8108 Fax: 530-251-8394 | |
Mr. Michael Julian Boretz, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 475 750 Rice Canyon Road, Susanville, CA 96127 Phone: 530-251-5100 Fax: 530-251-5017 |