Staci Louise Altomare, LCSW is a
Social Worker based in Eureka, California. Staci Louise Altomare is licensed to practice in California (license number LCSW114922) and her current practice location is
720 Wood St, Eureka, California. She can be reached at her office (for appointments etc.) via phone at
(707) 268-2990.
NPI number for Staci Louise Altomare is 1053712372 and her current mailing address is 720 Wood St, Eureka, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053712372.
Healthcare Provider's Profile
| Full Name | Staci Louise Altomare |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 720 Wood St, Eureka, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1053712372
- Provider Enumeration Date: 09/05/2014
- Last Update Date: 03/21/2024
Medical Identifiers
Medical identifiers for Staci Louise Altomare such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053712372 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | LCSW114922 (California) | Secondary |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW114922 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | LCSW114922 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Staci Louise Altomare is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Staci Louise Altomare, LCSW
720 Wood St,
Eureka, CA 95501-4413
Ph: (707) 268-2990 | Staci Louise Altomare, LCSW
720 Wood St,
Eureka, CA 95501-4413
Ph: (707) 268-2990 |
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