| Cypress Health Licensed Clinical Social Worker Inc. | |
|
1775 Woodside Rd Ste 203 Redwood City CA 94061-3454 | |
| (415) 867-1419 | |
| Not Available |
| Full Name | Cypress Health Licensed Clinical Social Worker Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1775 Woodside Rd Ste 203, Redwood City, California |
| Authorized Official Name and Position | April Ellis (PRESIDENT) |
| Authorized Official Contact | 4158671419 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cypress Health Licensed Clinical Social Worker Inc. 1775 Woodside Rd Ste 203 Redwood City CA 94061-3454 Ph: () - | Cypress Health Licensed Clinical Social Worker Inc. 1775 Woodside Rd Ste 203 Redwood City CA 94061-3454 Ph: (415) 867-1419 |
| NPI Number | 1972386779 |
|---|---|
| Provider Enumeration Date | 08/15/2023 |
| Last Update Date | 08/15/2023 |
| Certification Date | 08/15/2023 |
| Medicare PECOS PAC ID | 3971954215 |
|---|---|
| Medicare Enrollment ID | O20240110004631 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972386779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Stephen W Osborn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922622174 PECOS PAC ID: 8820412893 Enrollment ID: I20220727000642 |
| Provider Name | April Ellis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104504372 PECOS PAC ID: 4880045129 Enrollment ID: I20240110004740 |
| Provider Name | Georgette Adriana Esquivel-chand |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1306477021 PECOS PAC ID: 3971945379 Enrollment ID: I20240530003897 |
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