Mr John Robert Thompson, LCSW | |
610 Elm St Ste 212, San Carlos, CA 94070-3070 | |
(650) 591-9623 | |
Not Available |
Full Name | Mr John Robert Thompson |
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Gender | Male |
Speciality | Social Worker |
Location | 610 Elm St Ste 212, San Carlos, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518241249 | NPI | - | NPPES |
1518241249 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 77891 (California) | Secondary |
104100000X | Social Worker | 6801101859 (Michigan) | Primary |
Entity Name | Community Mental Health Authority Of Clinton Eaton Ingham Counties |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265483457 PECOS PAC ID: 2668376732 Enrollment ID: O20031120000868 |
Mailing Address | Practice Location Address |
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Mr John Robert Thompson, LCSW Po Box 31849, San Francisco, CA 94131-0849 Ph: () - | Mr John Robert Thompson, LCSW 610 Elm St Ste 212, San Carlos, CA 94070-3070 Ph: (650) 591-9623 |
Pearl Chen, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 610 Elm St Ste 212, San Carlos, CA 94070 Phone: 650-591-9623 | |
Sarah Ellison Boro, LCSW124424 Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1033 Laurel St, San Carlos, CA 94070 Phone: 650-339-9104 | |
Hana Whizin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1001 Laurel St Ste C, San Carlos, CA 94070 Phone: 650-241-8483 | |
Mrs. Karen Blesius Rhodes, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1303 San Carlos Ave, San Carlos, CA 94070 Phone: 650-218-5168 | |
Mrs. Kirsten Anne Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1161 Cherry St, San Carlos, CA 94070 Phone: 650-595-8700 Fax: 650-595-8700 | |
Maria Josefina Guzman Gutierrez, LCSW,96319 Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 610 Elm St Ste 212, San Carlos, CA 94070 Phone: 650-591-9623 | |
Miss Pamela Beth Krasner, M.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 610 Elm St, Suite 212, San Carlos, CA 94070 Phone: 650-579-0361 Fax: 650-342-6727 |