Miss Ann K Gallo, LCSW | |
205 South St, Fort Bragg, CA 95437-5540 | |
(707) 964-1251 | |
Not Available |
Full Name | Miss Ann K Gallo |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 15 Years |
Location | 205 South St, Fort Bragg, 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 |
---|---|---|---|
1891980561 | NPI | - | NPPES |
1891980561 | Other | CA | NPI |
LCS65668 | Other | CA | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCS65668 (California) | Primary |
104100000X | Social Worker | (* (Not Available)) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mendocino Coast Clinics, Inc | 5991619157 | 15 |
Entity Name | Mendocino Coast Clinics, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609595404 PECOS PAC ID: 5991619157 Enrollment ID: O20050512001033 |
Mailing Address | Practice Location Address |
---|---|
Miss Ann K Gallo, LCSW 205 South St, Fort Bragg, CA 95437-5540 Ph: (707) 964-1251 | Miss Ann K Gallo, LCSW 205 South St, Fort Bragg, CA 95437-5540 Ph: (707) 964-1251 |
Jessica Ehlers, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 32670 Highway 20 Unit 2, Fort Bragg, CA 95437 Phone: 707-964-1136 | |
Mr. Richard William Jaulus, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 205 South St, Fort Bragg, CA 95437 Phone: 707-964-1251 Fax: 707-961-2722 | |
Ms. Mary Pat Palmer, M.A. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 205 S Main St, Fort Bragg, CA 95437 Phone: 707-964-4027 Fax: 707-964-9214 | |
Ms. Rena Blauner, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 205 South St, Fort Bragg, CA 95437 Phone: 707-964-1251 Fax: 707-961-2722 | |
Ms. Lynne Barbara Bornheim, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 205 South St, Fort Bragg, CA 95437 Phone: 707-961-4088 | |
Mrs. Crystal Marie Harris, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 30750 Simpson Ln, Fort Bragg, CA 95437 Phone: 970-903-1761 | |
David Todd Stein, ASW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 205 South St, Fort Bragg, CA 95437 Phone: 707-961-4088 Fax: 707-964-4558 |