| Carol Mo, | |
|
150 Muir Rd, Martinez, CA 94553-4668 | |
| (925) 370-4739 | |
| Not Available |
| Full Name | Carol Mo |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 150 Muir Rd, Martinez, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225417066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW88523 (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 |
|---|---|
| Carol Mo, 150 Muir Rd, Martinez, CA 94553-4668 Ph: (925) 370-4739 | Carol Mo, 150 Muir Rd, Martinez, CA 94553-4668 Ph: (925) 370-4739 |
Ms. Stacy Lee Studebaker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 150 Muir Rd, Martinez, CA 94553 Phone: 925-580-5950 | |
Jacqueline Green-garvey, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 150 Muir Rd, Martinez, CA 94553 Phone: 925-372-2000 | |
Gilbert Daniel Gammad, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 800 Ferry St, Martinez, CA 94553 Phone: 510-603-5495 | |
Cindy Gonzalez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1320 Arnold Dr, Suite 160, Martinez, CA 94553 Phone: 925-229-5400 Fax: 925-229-5406 | |
Mrs. Christine Annette Couture, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1340 Arnold Dr Ste 200, Martinez, CA 94553 Phone: 888-678-7277 | |
Mr. Gary Noveda Cabardo, MSW, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 150 Muir Rd, Martinez, CA 94553 Phone: 925-370-4739 Fax: 925-370-4792 | |
Alex Rodriguez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 150 Nuir Road, Martinez, CA 94553 Phone: 925-372-2000 |