Kathryn Greene, LCSW | |
830 E Vista Way Ste 108, Vista, CA 92084-5216 | |
(760) 521-8244 | |
Not Available |
Full Name | Kathryn Greene |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 830 E Vista Way Ste 108, Vista, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144865437 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 85005 (California) | Primary |
Entity Name | Brightside Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801355482 PECOS PAC ID: 6608262464 Enrollment ID: O20230608002286 |
Mailing Address | Practice Location Address |
---|---|
Kathryn Greene, LCSW 762 Laguna Dr, Carlsbad, CA 92008-1652 Ph: (760) 521-8244 | Kathryn Greene, LCSW 830 E Vista Way Ste 108, Vista, CA 92084-5216 Ph: (760) 521-8244 |
Christine Dougherty, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1000 Vale Terrace Dr, Vista, CA 92084 Phone: 760-631-5000 | |
Andreanna King, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2135 Solara Ln, Vista, CA 92081 Phone: 909-306-6240 | |
Sandra Leon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 780 Shadowridge Dr, Vista, CA 92083 Phone: 209-351-4048 | |
Donna Christine Gray, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 780 Shadowridge Dr, Vista, CA 92083 Phone: 760-599-2383 | |
Mr. Werner Spitzfaden, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 780 Shadowridge Dr, Vista, CA 92083 Phone: 760-599-2528 | |
Mr. Juan Pablo Zapatel, LCSW 78741 Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1000 Vale Terrace Dr, Vista, CA 92084 Phone: 760-631-5000 | |
Ms. Sandra Leah Wright-cagle, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 780 Shadowridge Dr, Vista, CA 92083 Phone: 760-599-2309 Fax: 760-599-2399 |