Rebecca Hathorn, LCSW | |
22245 Main St, Suite 200, Hayward, CA 94541-4028 | |
(510) 727-9401 | |
(510) 727-9405 |
Full Name | Rebecca Hathorn |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 22245 Main St, Hayward, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770624363 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | ASW 18459 (California) | Secondary |
1041C0700X | Social Worker - Clinical | 26832 (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 |
Entity Name | Side By Side |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174775639 PECOS PAC ID: 7517144900 Enrollment ID: O20110613000466 |
Mailing Address | Practice Location Address |
---|---|
Rebecca Hathorn, LCSW 22245 Main St, Suite 200, Hayward, CA 94541-4028 Ph: (510) 727-9401 | Rebecca Hathorn, LCSW 22245 Main St, Suite 200, Hayward, CA 94541-4028 Ph: (510) 727-9401 |
Marta Elena Reynoso, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 409 Jackson St, Suite 200, Hayward, CA 94544 Phone: 510-891-5650 | |
Mr. Jeremy Lightell, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 409 Jackson St, Hayward, CA 94544 Phone: 510-891-5600 | |
Ms. Alison Elizabeth Larkin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 22245 Main St, Hayward, CA 94541 Phone: 260-348-6890 | |
Ms. Jessica Leigh Johnson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 22245 Main St, Suite 200, Hayward, CA 94541 Phone: 510-727-9401 Fax: 510-727-9405 | |
Tashiana Colston, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 21455 Birch St Ste 201, Hayward, CA 94541 Phone: 510-844-5370 Fax: 510-583-0410 | |
Ariana Chau, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1061 A St, Hayward, CA 94541 Phone: 510-459-7468 | |
Scott Senger, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 494 Blossom Way, Hayward, CA 94541 Phone: 562-216-4900 |