Miss Trilby Blythe Tuesday Kerrigan, LCSW | |
Po Box 465, Ukiah, CA 95482-0465 | |
(707) 380-4351 | |
Not Available |
Full Name | Miss Trilby Blythe Tuesday Kerrigan |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | Po Box 465, Ukiah, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073011524 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 104756 (California) | Primary |
Entity Name | Consolidated Tribal Health Project, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003826009 PECOS PAC ID: 1456260736 Enrollment ID: O20050714000893 |
Mailing Address | Practice Location Address |
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Miss Trilby Blythe Tuesday Kerrigan, LCSW Po Box 465, Ukiah, CA 95482-0465 Ph: (707) 380-4351 | Miss Trilby Blythe Tuesday Kerrigan, LCSW Po Box 465, Ukiah, CA 95482-0465 Ph: (707) 380-4351 |
Janet G Mendell, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 514 S School St, Ukiah, CA 95482 Phone: 707-272-4531 Fax: 707-462-3253 | |
Caroline Vidal, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 290 E. Gobbi St., Ukiah, CA 95482 Phone: 707-463-3300 | |
Mr. Terence James Stoekl, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 425 E. Gobbi St., #74, Ukiah, CA 95482 Phone: 707-463-8872 | |
Lily K Perez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Po Box 1754, Ukiah, CA 95482 Phone: 707-489-1635 | |
Diana Billy-elliott, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 169 Mason St Ste 300, Ukiah, CA 95482 Phone: 707-463-3300 | |
Lorelei J Hammond, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 406 W Standley St, Ukiah, CA 95482 Phone: 707-462-4154 Fax: 707-468-5618 |