Lisa Kathleen Gendzwill, LCSW | |
3555 Whipple Rd, Union City, CA 94587-1507 | |
(510) 454-1000 | |
Not Available |
Full Name | Lisa Kathleen Gendzwill |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 3555 Whipple Rd, Union City, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467699413 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 24315 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Lisa Kathleen Gendzwill, LCSW 3553 Whipple Rd, Union City, CA 94587-1507 Ph: (510) 454-1000 | Lisa Kathleen Gendzwill, LCSW 3555 Whipple Rd, Union City, CA 94587-1507 Ph: (510) 454-1000 |
Mr. Sean L Jubb, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3555 Whipple Rd, Union City, CA 94587 Phone: 510-333-1792 | |
Julie Ann Kovitz, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3555 Whipple Rd, Union City, CA 94587 Phone: 510-675-3080 | |
Aryn Wolfe, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 32779 Sumac St, Union City, CA 94587 Phone: 510-209-2869 | |
Rachelle Ann Reposa, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3555 Whipple Rd Bldg A2nd, Union City, CA 94587 Phone: 510-675-4541 | |
Maritza Moreno, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 33629 15th St, Union City, CA 94587 Phone: 510-471-2772 | |
Kelly Anne Magee-o'dea, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3555 Whipple Rd, Union City, CA 94587 Phone: 510-675-3362 | |
Sagar Barati, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 30916 Granger Ave, Union City, CA 94587 Phone: 702-280-3619 |