Jessica Lee Derise, LCSW-C | |
251 Jackson Ave, Redwood City, CA 94061-1630 | |
(650) 368-2383 | |
Not Available |
Full Name | Jessica Lee Derise |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 251 Jackson Ave, Redwood City, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1134358658 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | 18803 (Maryland) | Primary |
Entity Name | Salus Health Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285244004 PECOS PAC ID: 8123436540 Enrollment ID: O20210422002298 |
Mailing Address | Practice Location Address |
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Jessica Lee Derise, LCSW-C 1020 Saint Paul St, Baltimore, MD 21202-2606 Ph: () - | Jessica Lee Derise, LCSW-C 251 Jackson Ave, Redwood City, CA 94061-1630 Ph: (650) 368-2383 |
Kimberly Larson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2686 Spring St, Redwood City, CA 94063 Phone: 650-368-3345 | |
Mrs. Kimberly Ann Loughery, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 333 Twin Dolphin Dr, Ste. 203, Redwood City, CA 94065 Phone: 650-670-6287 | |
Ms. Joelle Natalie Mourad Mitchell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1400 Veterans Blvd, 3rd Floor, Redwood City, CA 94063 Phone: 650-299-4354 | |
Ms. Libby Still Riverstone-howe, MSW,LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1775 Woodside Rd Ste 203, Redwood City, CA 94061 Phone: 650-456-1030 | |
Ms. Jacqueline Elyse Inglis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 165 Arch St, Redwood City, CA 94062 Phone: 650-363-0383 | |
Danielle Lacampagne, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 802 Brewster Ave, Redwood City, CA 94063 Phone: 650-363-4117 |