Ms Angela Scott, LCSW | |
5201 Great America Pkwy, Santa Clara, CA 95054-1122 | |
(323) 205-7088 | |
Not Available |
Full Name | Ms Angela Scott |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 5201 Great America Pkwy, Santa Clara, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891218459 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 101291 (California) | Secondary |
101YP2500X | Counselor - Professional | (* (Not Available)) | 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 |
---|---|
Ms Angela Scott, LCSW 1910 Customer Care Way, Atwater, CA 95301-5167 Ph: () - | Ms Angela Scott, LCSW 5201 Great America Pkwy, Santa Clara, CA 95054-1122 Ph: (323) 205-7088 |
Cheryl Leigh Rouse, Counselor Medicare: Medicare Enrolled Practice Location: 3490 The Alameda, Santa Clara, CA 95050 Phone: 408-243-0222 | |
Richard Grant Muir, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3490 The Alameda, Santa Clara, CA 95050 Phone: 408-243-0222 | |
Rachel Lasky, Counselor Medicare: Not Enrolled in Medicare Practice Location: 700 Agnew Rd Apt 425, Santa Clara, CA 95054 Phone: 480-286-1192 | |
Laura Daniela Martinez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3490 The Alameda, Santa Clara, CA 95050 Phone: 408-243-0222 | |
Michelle Albanese Pettengill, ASW Counselor Medicare: Not Enrolled in Medicare Practice Location: 3490 The Alameda, Santa Clara, CA 95050 Phone: 408-243-0222 | |
Stephanie Helen Schultze Ponce, Counselor Medicare: Medicare Enrolled Practice Location: 3840 Homestead Rd, Santa Clara, CA 95051 Phone: 408-851-4922 | |
Jon Michael Faxon, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 3840 Homestead Road, Kaiser Permanete -- Behavioral Health Center, Santa Clara, CA 95051 Phone: 408-569-2604 |