| Amy White, | |
|
565 Alden Way, Roseville, CA 95678-5703 | |
| (408) 598-0060 | |
| Not Available |
| Full Name | Amy White |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 565 Alden Way, Roseville, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144990797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 27348 (California) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| 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 |
|---|---|
| Amy White, 565 Alden Way, Roseville, CA 95678-5703 Ph: (408) 598-0060 | Amy White, 565 Alden Way, Roseville, CA 95678-5703 Ph: (408) 598-0060 |
Craig David Bissell, LCSW/ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 248 Folsom Rd, Roseville, CA 95678 Phone: 916-812-3824 |
Keby Reese, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Po Box 334, Roseville, CA 95661 Phone: 916-546-3044 |
Ms. Patience Tsuruko Taba, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 775 Sunrise Ave Ste 120, Roseville, CA 95661 Phone: 916-600-2838 Fax: 916-773-0965 |
Suzanne Garafolo, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 333 Sunrise Ave Ste 701, Roseville, CA 95661 Phone: 916-783-5207 |
Catherine Matthews, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1780 Vernon St Ste 1, Roseville, CA 95678 Phone: 916-782-1111 Fax: 916-782-4544 |
Mayra Mireles Jacobo, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 Cirby Hills Dr, Roseville, CA 95678 Phone: 916-787-8867 |
Mrs. Camille Lynne Danos, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1600 E Roseville Parkway, Roseville, CA 95661 Phone: 916-973-5300 |