Natalie Nacole Vides-boelke, LCSW | |
1305 Tommydon St, Stockton, CA 95210-3364 | |
(209) 476-3937 | |
Not Available |
Full Name | Natalie Nacole Vides-boelke |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1305 Tommydon St, Stockton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639359318 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 24102 (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 |
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Natalie Nacole Vides-boelke, LCSW 1305 Tommydon St, Stockton, CA 95210-3364 Ph: (209) 476-3937 | Natalie Nacole Vides-boelke, LCSW 1305 Tommydon St, Stockton, CA 95210-3364 Ph: (209) 476-3937 |
Donna L Bickham, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1212 N California St, Stockton, CA 95202 Phone: 209-953-7313 Fax: 209-468-9633 | |
Krystal Madeline Avila, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2495 W March Ln, Stockton, CA 95207 Phone: 209-465-1080 | |
Shani Dharmasena, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1545 Saint Marks Plz, Stockton, CA 95207 Phone: 209-741-7888 | |
Ms. Carol Jeanne Willmett, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1212 N California St, Stockton, CA 95202 Phone: 209-468-8296 Fax: 209-468-3516 | |
Tiffany Dewitte, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1212 N California St, Stockton, CA 95202 Phone: 209-468-7462 | |
Mrs. Torrie Alyn-hughes Piasecki, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7210 Murray Dr, Stockton, CA 95210 Phone: 209-598-6903 | |
Grace Disilvestro, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2495 W March Ln Ste 125, Stockton, CA 95207 Phone: 209-465-1080 Fax: 209-465-2709 |