Ryan Gardner, | |
2740 S Elm Ave, Fresno, CA 93706 | |
(559) 457-5200 | |
(559) 457-5290 |
Full Name | Ryan Gardner |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 2740 S Elm Ave, Fresno, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477796225 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW28767 (California) | Primary |
Entity Name | Peninsula Counseling And Consulting Inc Ryan Gardner |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265044168 PECOS PAC ID: 1658778907 Enrollment ID: O20210929000914 |
Mailing Address | Practice Location Address |
---|---|
Ryan Gardner, 2740 S Elm Ave, Fresno, CA 93706-5435 Ph: (559) 457-5200 | Ryan Gardner, 2740 S Elm Ave, Fresno, CA 93706 Ph: (559) 457-5200 |
Jodi Marr, AA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1350 M St, Fresno, CA 93721 Phone: 559-457-3940 | |
Mrs. Stephanie Ann Cocci, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2615 E Clinton Ave, Building 12-hchv, Fresno, CA 93703 Phone: 559-351-0459 | |
Mrs. Allyson Jennifer Torres, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1156 W Escalon Ave, Fresno, CA 93711 Phone: 559-210-4525 | |
Samantha Oleson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 677 E Roberts Ave, Fresno, CA 93710 Phone: 559-355-7207 | |
Ms. Lynn Lirette, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5740 N Palm, #105, Fresno, CA 93704 Phone: 559-224-8419 Fax: 559-431-1951 | |
Ms. Irene Alice Aparicio, MS, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2109 W Bullard Ave, Suite 145, Fresno, CA 93711 Phone: 559-439-1534 | |
Ms. Johanna Carroll, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1600 M St, Fresno, CA 93721 Phone: 559-237-4706 |