Paul J Koflanovich, LCSW | |
150 California Drive, Yountville, CA 94599-1418 | |
(707) 944-4582 | |
(707) 944-4590 |
Full Name | Paul J Koflanovich |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 150 California Drive, Yountville, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942428842 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCS 7886 (California) | Primary |
Entity Name | Veterans Home Of California |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740434661 PECOS PAC ID: 5799683827 Enrollment ID: O20031226000251 |
Mailing Address | Practice Location Address |
---|---|
Paul J Koflanovich, LCSW 150 California Drive, Yountville, CA 94599-1418 Ph: (707) 944-4582 | Paul J Koflanovich, LCSW 150 California Drive, Yountville, CA 94599-1418 Ph: (707) 944-4582 |
Thomas J. La Grave Jr., LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 150 California Drive, Yountville, CA 94599 Phone: 707-944-4575 Fax: 707-944-4590 | |
Jonathan Spremich, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 150 California Dr, Yountville, CA 94599 Phone: 707-944-4571 Fax: 707-944-4590 | |
Melinda G. Mcgrath, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 150 California Drive, Yountville, CA 94599 Phone: 707-944-4572 Fax: 707-944-4590 | |
Deborah Dado, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 150 California Drive, Yountville, CA 94599 Phone: 707-944-4577 Fax: 707-944-4590 | |
Julie A. Angeloni, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 150 California Drive, Yountville, CA 94599 Phone: 707-944-4573 Fax: 707-944-4590 | |
Gila Freeberg, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 California Dr, Yountville, CA 94599 Phone: 707-944-4576 | |
Susan K Lebarre, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 150 California Drive, Yountville, CA 94599 Phone: 707-944-4575 |