Mrs Lisa Kathleen Prahl, LCSW | |
2141 Schnell Ct, Gold River, CA 95670-8314 | |
(916) 213-8740 | |
Not Available |
Full Name | Mrs Lisa Kathleen Prahl |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2141 Schnell Ct, Gold River, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285986893 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCS 17864 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Mrs Lisa Kathleen Prahl, LCSW 2141 Schnell Ct, Gold River, CA 95670-8314 Ph: (916) 213-8740 | Mrs Lisa Kathleen Prahl, LCSW 2141 Schnell Ct, Gold River, CA 95670-8314 Ph: (916) 213-8740 |
Sandra Stemple, PHD, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11344 Coloma Rd, Suite 605, Gold River, CA 95670 Phone: 916-206-4193 | |
Lindsay Mahoney, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11344 Coloma Rd Ste 709, Gold River, CA 95670 Phone: 916-459-4604 | |
Diana Sundukos, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11344 Coloma Rd Ste 180, Gold River, CA 95670 Phone: 916-262-4742 | |
Kathleen A Messina, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11344 Coloma Rd Ste 709, Gold River, CA 95670 Phone: 916-335-9038 Fax: 916-638-1734 | |
Janet Lia Gates, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2377 Gold Meadow Way Ste 100, Gold River, CA 95670 Phone: 916-370-6179 Fax: 888-796-2876 |