Marianna Randolph, LCSW | |
924 Emerald Bay Rd, South Lake Tahoe, CA 96150-9405 | |
(530) 721-7281 | |
Not Available |
Full Name | Marianna Randolph |
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Gender | Female |
Speciality | Clinical Social Worker |
Experience | 20 Years |
Location | 924 Emerald Bay Rd, South Lake Tahoe, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
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1609150853 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | LCS 24256 (California) | Primary |
Entity Name | A Balanced Life Individual Family & Child Therapy Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013297837 PECOS PAC ID: 9234402058 Enrollment ID: O20170830001048 |
Mailing Address | Practice Location Address |
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Marianna Randolph, LCSW Po Box 9343, South Lake Tahoe, CA 96158-2343 Ph: () - | Marianna Randolph, LCSW 924 Emerald Bay Rd, South Lake Tahoe, CA 96150-9405 Ph: (530) 721-7281 |
Stephanie Zepeda-ledezma, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Po Box 18004, South Lake Tahoe, CA 96151 Phone: 530-318-6985 | |
Mrs. Linda Hardin Bingham, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1120 3rd St, South Lake Tahoe, CA 96150 Phone: 530-573-3251 | |
Mr. Aaron M Lindsey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150 Phone: 530-573-7970 Fax: 530-543-6873 | |
Ms. Sally Ann Williams, LCSW -LCS 19708 Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2074 Lake Tahoe Bvld, Suite 9, South Lake Tahoe, CA 96150 Phone: 530-573-3251 Fax: 530-544-7128 | |
Ms. Laurie Claire Gallagher, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3320 Sandy Way, Suite 4, South Lake Tahoe, CA 96150 Phone: 530-542-2409 Fax: 530-542-2791 | |
Chelsea Walsh, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 924 Emerald Bay Rd Ste A2, South Lake Tahoe, CA 96150 Phone: 305-544-2111 | |
Ellen Fisher, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2048 Dunlap Dr Ste 8, South Lake Tahoe, CA 96150 Phone: 530-205-3622 |