| Angelique Michelle Gray, | |
|
3184 Churn Creek Rd, Redding, CA 96002 | |
| (530) 768-2455 | |
| Not Available |
| Full Name | Angelique Michelle Gray |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 14 Years |
| Location | 3184 Churn Creek Rd, Redding, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184768863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 79624 (California) | Primary |
| 101YM0800X | Counselor - Mental Health | 79624 (California) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Redding Rancheria | 7810969847 | 31 |
| Entity Name | Redding Rancheria |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104859354 PECOS PAC ID: 7810969847 Enrollment ID: O20040810001377 |
| Mailing Address | Practice Location Address |
|---|---|
| Angelique Michelle Gray, Po Box 496048, Redding, CA 96049-6048 Ph: () - | Angelique Michelle Gray, 3184 Churn Creek Rd, Redding, CA 96002 Ph: (530) 768-2455 |
Kaitlyn Marie Green, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 481 Ridgecrest Trl, Redding, CA 96003 Phone: 530-941-4005 | |
Ernesto Cervantes, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1035 Placer St, Redding, CA 96001 Phone: 530-246-5710 Fax: 530-241-7838 | |
Caren Lynn Wilds, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2640 Breslauer Way, Redding, CA 96001 Phone: 530-225-5973 | |
Ms. Roxanna Marie Zalesny, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1313 Yuba Street, Redding, CA 96001 Phone: 530-225-3885 | |
Tammy Allan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1945 Shasta St Ste E1, Redding, CA 96001 Phone: 530-945-6596 | |
Felicia Marie Gardner, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1415 Court St, Redding, CA 96001 Phone: 530-242-5709 | |
Bonnie Jean Beffa, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2640 Breslauer Way, Redding, CA 96001 Phone: 530-225-5200 |