Ms Carla L Wills, LCSW | |
5036 Sunrey Rd, Placerville, CA 95667-9529 | |
(530) 621-9800 | |
(530) 621-9804 |
Full Name | Ms Carla L Wills |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 5036 Sunrey Rd, Placerville, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073685202 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCS19547 (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 |
---|---|
Ms Carla L Wills, LCSW 5036 Sunrey Rd, Placerville, CA 95667-9529 Ph: (530) 621-9800 | Ms Carla L Wills, LCSW 5036 Sunrey Rd, Placerville, CA 95667-9529 Ph: (530) 621-9800 |
Shirley J. Miller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 670 Placerville Dr, Suite 1b, Placerville, CA 95667 Phone: 530-621-5290 | |
Kym M Andrews-cardoza, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3057 Briw Rd, Placerville, CA 95667 Phone: 530-748-5328 | |
Ms. Terry Lee White, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2808 Mallard Ln., C, Placerville, CA 95667 Phone: 530-621-6547 Fax: 530-295-2521 | |
Alicia Nichole Saavedra, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1100 Marshall Way, Placerville, CA 95667 Phone: 530-626-2793 | |
Ms. Eileen P. Keaveny, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3094 Cedar Ravine Rd, Placerville, CA 95667 Phone: 530-621-4318 | |
Jacqueline Nelson, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5168 Honpie Rd, Placerville, CA 95667 Phone: 530-387-4975 |