| C.i.p.g.a.-licensed Clinical Social Worker Inc. Prof. Corp. | |
|
419 Elizabeth St Ste 1 Vacaville CA 95688-4602 | |
| (707) 567-1189 | |
| Not Available |
| Full Name | C.i.p.g.a.-licensed Clinical Social Worker Inc. Prof. Corp. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 419 Elizabeth St Ste 1, Vacaville, California |
| Authorized Official Name and Position | Barbara Bean-jensen (CEO/SECRETARY) |
| Authorized Official Contact | 7075671189 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| C.i.p.g.a.-licensed Clinical Social Worker Inc. Prof. Corp. 419 Elizabeth St Ste 1 Vacaville CA 95688-4602 Ph: (707) 567-1189 | C.i.p.g.a.-licensed Clinical Social Worker Inc. Prof. Corp. 419 Elizabeth St Ste 1 Vacaville CA 95688-4602 Ph: (707) 567-1189 |
| NPI Number | 1396917837 |
|---|---|
| Provider Enumeration Date | 03/25/2008 |
| Last Update Date | 09/23/2010 |
| Medicare PECOS PAC ID | 7214123157 |
|---|---|
| Medicare Enrollment ID | O20101118000231 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396917837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LCS21093 (California) | Primary |
| Provider Name | Barbara Ann Bean-runyon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437201068 PECOS PAC ID: 8123214061 Enrollment ID: I20101118000330 |
Kaiser Permanente Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Quality Dr, Vacaville, CA 95688 Phone: 707-624-2600 | |
Restoration Family Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 313 Kendal Street Suite B, Vacaville, CA 95688 Phone: 707-330-7904 Fax: 888-356-3203 | |
Humanistic Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 831 Alamo Dr Ste 6b, Vacaville, CA 95688 Phone: 858-449-6301 | |
Beck Lane Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4500 Beck Ln, Vacaville, CA 95688 Phone: -- | |
Teach, Acquire, Thrive, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 612 Harvard Ave, Vacaville, CA 95687 Phone: 209-923-3323 Fax: 707-317-1517 | |
Breakthrough Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 419 Elizabeth St Ste 3, Vacaville, CA 95688 Phone: 510-685-5697 Fax: 707-514-7180 | |
Second Wind Professional Clinical Counselor Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 Boyd St, Vacaville, CA 95688 Phone: 530-966-8144 |