Ms Kelly D Prothero, LCSW | |
100 Tamal Plz, Suite 195, Corte Madera, CA 94925-1125 | |
(415) 497-8322 | |
Not Available |
Full Name | Ms Kelly D Prothero |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 100 Tamal Plz, Corte Madera, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225112055 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCS 26369 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ms Kelly D Prothero, LCSW 321 Laurel Pl, San Rafael, CA 94901-2012 Ph: (415) 747-8903 | Ms Kelly D Prothero, LCSW 100 Tamal Plz, Suite 195, Corte Madera, CA 94925-1125 Ph: (415) 497-8322 |
Ms. Susan Wright, LCS2139 Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 311 Prince Royal Dr, Creative Life Change Institute, Corte Madera, CA 94925 Phone: 415-927-2748 Fax: 415-927-7948 | |
Mrs. Esther G Stone, M.S,S,W, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 240 Tamal Vista Blvd, #290, Corte Madera, CA 94925 Phone: 415-272-3369 | |
Andrew Andras Barat, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 Tamal Plz Ste 220, Corte Madera, CA 94925 Phone: 630-337-5102 | |
Kelli Michelle Gaskell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2 Fifer Ave Ste 240, Corte Madera, CA 94925 Phone: 415-847-9369 | |
Michael Wylie Vurek, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 Tamal Plz, Ste 220, Corte Madera, CA 94925 Phone: 415-451-7455 Fax: 855-874-5397 | |
Debbie M Duggan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 21 Tamal Vista Blvd, Suite 160, Corte Madera, CA 94925 Phone: 415-388-2223 |