Ms Annunziata Johanna Paulina Van Voorene, LCSW | |
11686 Spruce Grove Rd, Lower Lake, CA 95457-9545 | |
(707) 994-4053 | |
Not Available |
Full Name | Ms Annunziata Johanna Paulina Van Voorene |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 11686 Spruce Grove Rd, Lower Lake, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083131791 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LCSW78653 (California) | Primary |
Entity Name | Mendocino Community Health Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497961106 PECOS PAC ID: 6305755455 Enrollment ID: O20040826001483 |
Mailing Address | Practice Location Address |
---|---|
Ms Annunziata Johanna Paulina Van Voorene, LCSW P.o. Box 1127, Lower Lake, CA 95457 Ph: (707) 480-7319 | Ms Annunziata Johanna Paulina Van Voorene, LCSW 11686 Spruce Grove Rd, Lower Lake, CA 95457-9545 Ph: (707) 994-4053 |
Jessica Chicoine, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9430 Lake St, Lower Lake, CA 95457 Phone: 707-994-6471 | |
Melissa Farrell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 16170 Main St Ste F, Lower Lake, CA 95457 Phone: 707-994-5486 | |
Valerie Mick, Counselor Medicare: Not Enrolled in Medicare Practice Location: 16170 Main St Ste F, Lower Lake, CA 95457 Phone: 707-994-5486 | |
Ms. Terra Renne Wilson, SAC II Counselor Medicare: Not Enrolled in Medicare Practice Location: 9345 Winchester, Lower Lake, CA 95457 Phone: 707-995-3235 Fax: 707-995-7004 | |
Elina Filippova, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 9667 Highway 29, Ste 102, Lower Lake, CA 95457 Phone: 510-241-8718 | |
Richard Hoffman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 16170 Main St Ste F, Lower Lake, CA 95457 Phone: 707-994-5486 |