Ms Victoria Lynn Clark, LCSW | |
3430 Robin Ln, Cameron Park, CA 95682-8407 | |
(530) 227-6495 | |
Not Available |
Full Name | Ms Victoria Lynn Clark |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 3430 Robin Ln, Cameron Park, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700201506 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 122437 (California) | Primary |
Entity Name | Grow Healthcare Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
Mailing Address | Practice Location Address |
---|---|
Ms Victoria Lynn Clark, LCSW 3224 Heights Dr, Cameron Park, CA 95682-8543 Ph: (530) 227-6495 | Ms Victoria Lynn Clark, LCSW 3430 Robin Ln, Cameron Park, CA 95682-8407 Ph: (530) 227-6495 |
Mr. Mark Edward Rowe, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4117 Trinidad Dr, Cameron Park, CA 95682 Phone: 530-676-5491 | |
Frank Nieto, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3330 Heights Dr, Ste 120, Cameron Park, CA 95682 Phone: 530-677-4404 Fax: 530-677-4545 | |
David Cropp, MSW, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3802 Mira Loma Dr, Cameron Park, CA 95682 Phone: 916-812-7878 | |
Catherine Alexander, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3027 Boeing Rd, Cameron Park, CA 95682 Phone: 505-429-2996 | |
Jaril Faith Gallup, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3125 Boeing Rd, Cameron Park, CA 95682 Phone: 847-962-5234 | |
Ms. Sharon Marie Booth, MSW LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4120 Cameron Park Dr, Ste 403, Cameron Park, CA 95682 Phone: 530-677-5764 Fax: 530-676-1782 | |
Ms. Anne Katherine Bucon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3827 Los Santos Dr, Cameron Park, CA 95682 Phone: 530-677-0262 Fax: 530-672-0935 |