Leslie Hammer, ASW | |
1500 Petaluma Blvd S, Petaluma, CA 94952-5545 | |
(831) 905-4585 | |
Not Available |
Full Name | Leslie Hammer |
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Gender | Female |
Speciality | Counselor |
Location | 1500 Petaluma Blvd S, Petaluma, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982005013 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 69157 (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 |
---|---|
Leslie Hammer, ASW 1546 1st St, Napa, CA 94559-2841 Ph: (831) 905-4585 | Leslie Hammer, ASW 1500 Petaluma Blvd S, Petaluma, CA 94952-5545 Ph: (831) 905-4585 |
Kelsey Gielen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 365 Kuck Ln, Petaluma, CA 94952 Phone: 707-795-6954 | |
Kati Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3539 Skillman Ln, Petaluma, CA 94952 Phone: 707-765-6555 | |
Kaitlyn D Henris, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5350 Old Redwood Hwy, Suite 600, Petaluma, CA 94954 Phone: 707-565-1270 | |
Gary Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3539 Skillman Ln, Petaluma, CA 94952 Phone: 707-765-6555 | |
Erin Ellen Ahern, CAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1355 Industrial Ave, Petaluma, CA 94952 Phone: 707-776-4670 Fax: 707-544-9011 | |
Kyle Lew, Counselor Medicare: Not Enrolled in Medicare Practice Location: 365 Kuck Ln, Petaluma, CA 94952 Phone: 707-795-6954 | |
Stephen Donnellan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 365 Kuck Ln, Petaluma, CA 94952 Phone: 707-795-6954 |