Kathleen Judith Baca Leanos, | |
1911 Williams Dr, Oxnard, CA 93036-2612 | |
(661) 510-2423 | |
Not Available |
Full Name | Kathleen Judith Baca Leanos |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1911 Williams Dr, Oxnard, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386043370 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 98974 (California) | Primary |
Entity Name | High Desert Psychological Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104463371 PECOS PAC ID: 2860819125 Enrollment ID: O20200901001503 |
Mailing Address | Practice Location Address |
---|---|
Kathleen Judith Baca Leanos, 1911 Williams Dr, Oxnard, CA 93036-2612 Ph: (661) 510-2423 | Kathleen Judith Baca Leanos, 1911 Williams Dr, Oxnard, CA 93036-2612 Ph: (661) 510-2423 |
Ms. Vel Linden, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1911 Williams Dr # 160, Oxnard, CA 93036 Phone: 805-981-8823 | |
Brandee Elizabeth Herrera, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1911 Williams Dr, Oxnard, CA 93036 Phone: 805-981-9260 | |
Angela Tinoco, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1911 Williams Dr Ste 150, Oxnard, CA 93036 Phone: 805-981-8460 | |
Monica De La Rosa, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2500 S C St Ste D, Oxnard, CA 93033 Phone: 805-385-9460 Fax: 805-385-9407 | |
Ivon H Garcia, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1911 Williams Dr # 165, Oxnard, CA 93036 Phone: 805-889-2099 | |
Mrs. Julie Michele Glantz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1911 Williams Dr, Oxnard, CA 93036 Phone: 805-981-8829 Fax: 805-981-4291 | |
Mrs. Marsha M Pyne, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 E Esplanade Dr, Ste. 1140, Oxnard, CA 93036 Phone: 805-988-1031 |