Katerina Leyzerovich, | |
121 Kent Ave Apt 28, Kentfield, CA 94904-2533 | |
(415) 505-8328 | |
Not Available |
Full Name | Katerina Leyzerovich |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 121 Kent Ave Apt 28, Kentfield, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174129647 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 98270 (California) | Primary |
Entity Name | Blue Moon Senior Counseling Of California Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447678990 PECOS PAC ID: 9335360981 Enrollment ID: O20141023000497 |
Mailing Address | Practice Location Address |
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Katerina Leyzerovich, 121 Kent Ave Apt 28, Kentfield, CA 94904-2533 Ph: (415) 505-8328 | Katerina Leyzerovich, 121 Kent Ave Apt 28, Kentfield, CA 94904-2533 Ph: (415) 505-8328 |
Mr. Andrew Maxwell Lamden, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1044 Sir Francis Drake Blvd, Kentfield, CA 94904 Phone: 415-454-0736 | |
Ms. Maia J Newman, M.S., LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1036 Sir Francis Drake Blvd, Kentfield, CA 94904 Phone: 415-721-4373 | |
Ilene L. Dillon, M.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 905 Sir Francis Drake Blvd Ste D, Kentfield, CA 94904 Phone: 415-454-5363 Fax: 510-223-4171 |