| Lauren Stockly, LCSW, RPT-S, ECMHS | |
|
1605 Hope St Ste 350, South Pasadena, CA 91030-2658 | |
| (626) 737-1732 | |
| Not Available |
| Full Name | Lauren Stockly |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1605 Hope St Ste 350, South Pasadena, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104240142 | NPI | - | NPPES |
| 95-1946482 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 71707 (California) | Primary |
| Entity Name | Soultenders Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164617007 PECOS PAC ID: 6507170453 Enrollment ID: O20150917001766 |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren Stockly, LCSW, RPT-S, ECMHS 1605 Hope St Ste 350, South Pasadena, CA 91030-2658 Ph: (626) 737-1732 | Lauren Stockly, LCSW, RPT-S, ECMHS 1605 Hope St Ste 350, South Pasadena, CA 91030-2658 Ph: (626) 737-1732 |
Jessica Gonzalez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 205 Pasadena Ave, South Pasadena, CA 91030 Phone: 323-344-5536 | |
Ms. Jan Harris, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 660 Monterey Rd, South Pasadena, CA 91030 Phone: 626-403-9101 | |
Mr. Jason David Rubin, M.S.W., LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1317 Huntington Dr, South Pasadena, CA 91030 Phone: 323-537-1714 Fax: 213-607-4360 | |
Leandra Sullivan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 503 Fair Oaks Ave., South Pasadena, CA 91030 Phone: 626-655-3195 | |
Mrs. Andrea Hanken, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 625 Fair Oaks Ave Ste 300, South Pasadena, CA 91030 Phone: 626-395-7100 | |
Ms. Lois Marie Davis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1910 Huntington Drive, South Pasadena, CA 91030 Phone: 626-441-6632 Fax: 626-441-6389 |