Mr Jordan Boehler, LCSW | |
1797 4th St, Livermore, CA 94550-4347 | |
(925) 443-2500 | |
Not Available |
Full Name | Mr Jordan Boehler |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 1797 4th St, Livermore, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316280332 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | LCSW74493 (California) | Primary |
Entity Name | Del Valle Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023028248 PECOS PAC ID: 2961539846 Enrollment ID: O20100428000496 |
Entity Name | Zion Healing Center Socal Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003696055 PECOS PAC ID: 1850833302 Enrollment ID: O20240612000575 |
Mailing Address | Practice Location Address |
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Mr Jordan Boehler, LCSW 2110 Ashby Ave, Berkeley, CA 94705-1803 Ph: () - | Mr Jordan Boehler, LCSW 1797 4th St, Livermore, CA 94550-4347 Ph: (925) 443-2500 |
Holland Chasma Jordan, LMSW, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4951 Arroyo Rd, Livermore, CA 94550 Phone: 925-373-4700 | |
Ms. Stephanie Crouch, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2633 Kellogg Ct, Livermore, CA 94550 Phone: 925-789-7080 | |
Mr. Stephen Roberts, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4951 Arroyo Rd Rm 446, Livermore, CA 94550 Phone: 650-509-0693 Fax: 650-614-9896 | |
Sharon Johnson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7011 East Ave, Livermore, CA 94550 Phone: 925-294-2700 | |
Ms. Susan Gladstone Faulds, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4951 Arroyo Rd, Livermore, CA 94550 Phone: 925-373-4700 Fax: 925-449-6525 | |
Ms. Carolyn Wander Daniel, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1430 2nd St, Livermore, CA 94550 Phone: 925-960-0863 Fax: 925-373-0453 |