| Charles Anthony Kenny, LCSW | |
|
300 Pasteur Dr, Stanford, CA 94305-2200 | |
| (650) 723-4000 | |
| Not Available |
| Full Name | Charles Anthony Kenny |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 7 Years |
| Location | 300 Pasteur Dr, Stanford, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134693047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 87384 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sutter Bay Medical Foundation | 4284538778 | 3318 |
| Entity Name | Sutter Bay Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Anthony Kenny, LCSW 300 Pasteur Dr, Stanford, CA 94305-2200 Ph: (650) 723-4000 | Charles Anthony Kenny, LCSW 300 Pasteur Dr, Stanford, CA 94305-2200 Ph: (650) 723-4000 |
Madeleine Janaki Kannan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 866 Campus Dr, Stanford, CA 94305 Phone: 650-498-2336 | |
Ashley Hartoch, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-850-1767 | |
Albert R Mezistrano, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 74 Barnes Ct, Apt 316, Stanford, CA 94305 Phone: 206-651-4069 | |
Lauren Nicole Abrahams, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 | |
Lynn T Chao, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 Pasteur Drive Hc029, Hc029, Stanford, CA 94305 Phone: 650-353-8571 | |
Camille Elizabeth Wheatley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 310-733-9777 |