| Ms Jamie Costello Kenwood, LCSW | |
|
Prison Rd, California State Prison Sacramento, Represa, CA 95670 | |
| (916) 324-6317 | |
| (916) 294-3195 |
| Full Name | Ms Jamie Costello Kenwood |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | Prison Rd, Represa, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316113525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 23573 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jamie Costello Kenwood, LCSW Po Box 290010, Represa, CA 95671-0010 Ph: (916) 324-6317 | Ms Jamie Costello Kenwood, LCSW Prison Rd, California State Prison Sacramento, Represa, CA 95670 Ph: (916) 324-6317 |
Ms. Susan Donell Raybourn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Prison Rd, Represa, CA 95671 Phone: 916-985-8610 | |
Ms. Violka Wanie, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Prison Rd, Represa, CA 95671 Phone: 916-985-8610 | |
Regina White, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Csp Sacramento Mhsds Regina White, 100 Prison Road, Represa, CA 95671 Phone: 916-985-8610 | |
Mrs. Valerie Jean Pearson-bryant, MSW, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Prison Rd, Represa, CA 95671 Phone: 916-985-8610 | |
Miss Daniela Coppin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Prison Rd, Represa, CA 95671 Phone: 916-986-8610 | |
Mr. George Gordon Mitchell Ii, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Prison Rd, Represa, CA 95671 Phone: 916-985-8610 |