Mr Ladarien Jarey Gillins, | |
280 17th St, Oakland, CA 94612-4124 | |
(510) 238-5020 | |
Not Available |
Full Name | Mr Ladarien Jarey Gillins |
---|---|
Gender | Male |
Speciality | Social Worker |
Location | 280 17th St, Oakland, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104462175 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
104100000X | Social Worker | (* (Not Available)) | Primary |
Entity Name | Brightside Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801355482 PECOS PAC ID: 6608262464 Enrollment ID: O20220404000301 |
Entity Name | Grow Healthcare Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
Mailing Address | Practice Location Address |
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Mr Ladarien Jarey Gillins, 3809 Penniman Ave, Oakland, CA 94619-1745 Ph: (214) 641-2289 | Mr Ladarien Jarey Gillins, 280 17th St, Oakland, CA 94612-4124 Ph: (510) 238-5020 |
Ms. Karen Lisa Thomas, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 747 52nd Street, Oakland, CA 94609 Phone: 510-701-8751 | |
Mr. Gilberto Madrid, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3867 Howe St, Oakland, CA 94611 Phone: 510-531-3894 | |
Patricia Ann Sweetwine, MSW, MPH Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5709 Market St, Oakland, CA 94608 Phone: 510-652-3300 Fax: 510-652-7720 | |
Ms. Yvonne Diane Escarsega, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1411 E 31st St, Oakland, CA 94602 Phone: 510-437-4373 Fax: 510-437-5170 | |
Ms. Stacey Nicole Francis, M.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 925 Brockhurst St, Oakland, CA 94608 Phone: 510-923-9600 | |
Mrs. Abby Ross Blum, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8945 Golf Links Rd, Oakland, CA 94605 Phone: 510-317-1444 | |
Aretha Hampton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 465 34th St, Oakland, CA 94609 Phone: 510-847-8847 |