Mr George Allan Fogle, LCSW, CCM | |
4601 Dale Rd, Modesto, CA 95356-9718 | |
(209) 735-5000 | |
Not Available |
Full Name | Mr George Allan Fogle |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 4601 Dale Rd, Modesto, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346402245 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCS 19284 (California) | Primary |
Entity Name | Asian Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841331402 PECOS PAC ID: 0244271021 Enrollment ID: O20050523000209 |
Mailing Address | Practice Location Address |
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Mr George Allan Fogle, LCSW, CCM 5669 Gold Creek Dr, Castro Valley, CA 94552-5443 Ph: (510) 502-9215 | Mr George Allan Fogle, LCSW, CCM 4601 Dale Rd, Modesto, CA 95356-9718 Ph: (209) 735-5000 |
Mr. William Leon Boddie Ii, L.C.S.W Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1524 Mchenry Ave, Suite # 450, Modesto, CA 95350 Phone: 209-557-6217 Fax: 209-557-9032 | |
Diana Faith Kigenyi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1225 Oakdale Road, Modesto, CA 95355 Phone: 209-557-6200 | |
Ms. Shamerin Bourang, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1225 Oakdale Rd, Modesto, CA 95355 Phone: 209-557-6213 | |
Mrs. Maria Edith Martinez, MSW,ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2000 W Briggsmore Ave Ste I, Modesto, CA 95350 Phone: 209-526-1476 | |
Paul Samuel Crenshaw, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 726 14th St Ste A, Modesto, CA 95354 Phone: 209-614-1440 | |
Erika Navarro, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1866 Maria Ct, Modesto, CA 95354 Phone: 209-531-4268 | |
Miss Deally S. Curran, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 800 Scenic Dr, Modesto, CA 95350 Phone: 209-380-6204 Fax: 209-558-4321 |