| Brendan Kearns, | |
|
1985 Johnson Ave, San Luis Obispo, CA 93401-4131 | |
| (805) 571-9915 | |
| Not Available |
| Full Name | Brendan Kearns |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 1985 Johnson Ave, San Luis Obispo, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811683121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 110567 (California) | Primary |
| Entity Name | Grow Healthcare Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
| Mailing Address | Practice Location Address |
|---|---|
| Brendan Kearns, 2875 El Cerrito St, San Luis Obispo, CA 93401-4667 Ph: (805) 215-2998 | Brendan Kearns, 1985 Johnson Ave, San Luis Obispo, CA 93401-4131 Ph: (805) 571-9915 |
Marissa Bailey Tabares, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2945 Mcmillan Ave Ste 240, San Luis Obispo, CA 93401 Phone: 805-439-4890 | |
Douglas Wayne Ballagh, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Highway 1, San Luis Obispo, CA 93409 Phone: 805-547-7900 | |
Mrs. Divina Gabuat, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2178 Johnson Ave, San Luis Obispo, CA 93401 Phone: 805-781-4752 | |
Andrea Diane Orr, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Colony Rd, San Luis Obispo, CA 93409 Phone: 805-709-3508 | |
Mr. William E. Watson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: Colony Drive, San Luis Obispo, CA 93409 Phone: 547-790-0805 | |
Alicia Dueck, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 77 Casa St, San Luis Obispo, CA 93405 Phone: 805-269-1500 | |
Anneliese Kindem, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2975 Mcmillan Ave Ste 160, San Luis Obispo, CA 93401 Phone: 805-781-4737 |