| Santa Barbara Radical Therapy, A Licensed Clinical Social Worker, Pc. | |
|
5266 Hollister Ave Ste 201 Santa Barbara CA 93111-4039 | |
| (805) 689-6464 | |
| Not Available |
| Full Name | Santa Barbara Radical Therapy, A Licensed Clinical Social Worker, Pc. |
|---|---|
| Speciality | Social Worker |
| Location | 5266 Hollister Ave Ste 201, Santa Barbara, California |
| Authorized Official Name and Position | Patricia Rorty (OWNER) |
| Authorized Official Contact | 8056896464 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Santa Barbara Radical Therapy, A Licensed Clinical Social Worker, Pc. 206 Wavecrest Ct Goleta CA 93117-5497 Ph: (805) 689-6464 | Santa Barbara Radical Therapy, A Licensed Clinical Social Worker, Pc. 5266 Hollister Ave Ste 201 Santa Barbara CA 93111-4039 Ph: (805) 689-6464 |
| NPI Number | 1649886854 |
|---|---|
| Provider Enumeration Date | 09/22/2020 |
| Last Update Date | 11/09/2024 |
| Certification Date | 11/09/2024 |
| Medicare PECOS PAC ID | 1658786124 |
|---|---|
| Medicare Enrollment ID | O20210215000856 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649886854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Patricia Kathleen Rorty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508303819 PECOS PAC ID: 1557645850 Enrollment ID: I20170306001740 |
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