| Mr Thomas L De Wildt, LCSW | |
|
15525 Pomerado Rd, Suite A-7, Poway, CA 92064-2435 | |
| (858) 279-1223 | |
| (858) 673-8519 |
| Full Name | Mr Thomas L De Wildt |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 15525 Pomerado Rd, Poway, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124038500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCS 9390 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Thomas L De Wildt, LCSW 15525 Pomerado Rd, Suite A-7, Poway, CA 92064-2435 Ph: (858) 279-1223 | Mr Thomas L De Wildt, LCSW 15525 Pomerado Rd, Suite A-7, Poway, CA 92064-2435 Ph: (858) 279-1223 |
Jack Duane Edmondson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14207 Kendra Way, Poway, CA 92064 Phone: 858-748-7093 | |
Mrs. Patti Jean Dewoskin, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 15708 Pomerado Rd, Suite 201, Poway, CA 92064 Phone: 858-673-1559 Fax: 858-674-7419 | |
Ms. Karin E Colden, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11552 Creek Rd, Poway, CA 92064 Phone: 858-525-3393 | |
Mr. Peter A Robben, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 14424 Twin Peaks Rd, Poway, CA 92064 Phone: 858-486-1168 | |
Violette A Jackson, LCS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15525 Pomerado Rd Ste E4, Poway, CA 92064 Phone: 858-674-5958 Fax: 858-451-1104 | |
Michele Renee Madson Johnson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 12929 Pomerado Road, Poway, CA 92064 Phone: 619-985-7772 Fax: 858-842-1112 |