Mr Jamie Lorn Baudizzon, THERAPIST | |
1933 Market St, Suite C, Redding, CA 96001-1929 | |
(530) 241-9276 | |
(530) 241-0114 |
Full Name | Mr Jamie Lorn Baudizzon |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 1933 Market St, Redding, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194936591 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCS17258 (California) | Primary |
Entity Name | Therapy Associates Clinical Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801254958 PECOS PAC ID: 2668882085 Enrollment ID: O20201113000167 |
Mailing Address | Practice Location Address |
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Mr Jamie Lorn Baudizzon, THERAPIST Po Box 990073, Redding, CA 96099-0073 Ph: (530) 241-9276 | Mr Jamie Lorn Baudizzon, THERAPIST 1933 Market St, Suite C, Redding, CA 96001-1929 Ph: (530) 241-9276 |
Kaitlyn Marie Green, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2580 Victor Ave Ste C, Redding, CA 96002 Phone: 530-941-4005 | |
Ernesto Cervantes, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1035 Placer St, Redding, CA 96001 Phone: 530-246-5710 Fax: 530-241-7838 | |
Caren Lynn Wilds, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2640 Breslauer Way, Redding, CA 96001 Phone: 530-225-5973 | |
Ms. Roxanna Marie Zalesny, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1313 Yuba Street, Redding, CA 96001 Phone: 530-225-3885 | |
Felicia Marie Gardner, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1415 Court St, Redding, CA 96001 Phone: 530-242-5709 | |
Bonnie Jean Beffa, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2640 Breslauer Way, Redding, CA 96001 Phone: 530-225-5200 | |
Diane W Campbell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2640 Breslauer Way, Redding, CA 96001 Phone: 530-225-5942 |