| Frederick William Risard, | |
|
9829 Blue Larkspur Ln, Monterey, CA 93940-6535 | |
| (209) 658-9832 | |
| Not Available |
| Full Name | Frederick William Risard |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 13 Years |
| Location | 9829 Blue Larkspur Ln, Monterey, 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 |
|---|---|---|---|
| 1912217837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 79759 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellspring Psychological Services Inc | 2961763784 | 16 |
| Entity Name | Wellspring Psychological Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336680495 PECOS PAC ID: 2961763784 Enrollment ID: O20180219000988 |
| Mailing Address | Practice Location Address |
|---|---|
| Frederick William Risard, 5001 3rd Ave, Marina, CA 93933-4529 Ph: (209) 658-9832 | Frederick William Risard, 9829 Blue Larkspur Ln, Monterey, CA 93940-6535 Ph: (209) 658-9832 |
Miss Vanessa Charlotte Davis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 628 Jessie St, Monterey, CA 93940 Phone: 831-601-8870 |
Thomas Muir, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 10 Ragsdale Dr, #102, Monterey, CA 93940 Phone: 831-644-7450 |
Mr. George Roger Rendon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 479 Pacific St, Ste. 2a, Monterey, CA 93940 Phone: 831-372-1070 Fax: 831-655-1229 |
Julie A Laurent, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 565 Hartnell Street, 3111, Monterey, CA 93940 Phone: 831-204-6392 |
Ms. Nancy Kathleen Cotham, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2150 Garden Rd Ste B1, Monterey, CA 93940 Phone: 831-657-1366 Fax: 831-657-1378 |
Mr. Mark Edward Odegard, PSW II Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1200 Aguajito Rd, Monterey, CA 93940 Phone: 831-647-7652 |
Shaylah Lee, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 856 Lomita St, Monterey, CA 93940 Phone: 862-239-5672 |