Ms Colleen Rem Haviland, LCSW | |
15400 Los Gatos Blvd, Los Gatos, CA 95032-2502 | |
(408) 523-3640 | |
Not Available |
Full Name | Ms Colleen Rem Haviland |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 15400 Los Gatos Blvd, Los Gatos, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972734804 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 66058 (California) | Primary |
Entity Name | Sutter Bay Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
Mailing Address | Practice Location Address |
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Ms Colleen Rem Haviland, LCSW 325 Distel Cir, Los Altos, CA 94022-1408 Ph: () - | Ms Colleen Rem Haviland, LCSW 15400 Los Gatos Blvd, Los Gatos, CA 95032-2502 Ph: (408) 523-3640 |
Ms. May Corca Wolff, MSW LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 15951 Los Gatos Blvd, Suite 18, Los Gatos, CA 95032 Phone: 408-356-9269 Fax: 831-335-0699 | |
Laura Denean Hunter, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 248 Blossom Hill Rd, Los Gatos, CA 95032 Phone: 831-809-5686 | |
Kenneth J Deaver, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 15951 Los Gatos Blvd Ste 18, Los Gatos, CA 95032 Phone: 408-358-9596 Fax: 408-358-9596 | |
Mr. Robert Gilbert Wiedeman, MA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 499 Loma Alta Ave, Los Gatos, CA 95030 Phone: 916-388-6321 | |
Amy Weingarten, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 24075 Morrill Cutoff Rd, Los Gatos, CA 95033 Phone: 408-284-9092 Fax: 408-284-9073 | |
Elizabeth June Dixon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 315 Los Gatos Saratoga Rd, Los Gatos, CA 95030 Phone: 408-817-5610 | |
Crystal Owyang, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 499 Loma Alta Ave, Los Gatos, CA 95030 Phone: 408-379-3790 |