| Jeremy Acevedo, | |
|
1303 E Grand Ave, Arroyo Grande, CA 93420-2460 | |
| (805) 242-3178 | |
| Not Available |
| Full Name | Jeremy Acevedo |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 1303 E Grand Ave, Arroyo Grande, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891033544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 88020 (California) | Primary |
| Entity Name | Lags Recovery Centers, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033665526 PECOS PAC ID: 2365844206 Enrollment ID: O20220707001799 |
| 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 |
|---|---|
| Jeremy Acevedo, 1017 N Concepcion Ave, Santa Maria, CA 93454-2321 Ph: () - | Jeremy Acevedo, 1303 E Grand Ave, Arroyo Grande, CA 93420-2460 Ph: (805) 242-3178 |
Suzanne Erickson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2820 Poquito Place, Arroyo Grande, CA 93420 Phone: 714-323-7696 | |
Mary Amedeo, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 118 Nevada St, Arroyo Grande, CA 93420 Phone: 805-234-0948 Fax: 844-740-0060 | |
Dr. Steven Robert Sproger, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 950 Wigeon Way, Arroyo Grande, CA 83420 Phone: 805-489-2270 Fax: 805-489-2270 | |
Ms. Janel A Chavez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1303 E Grand Ave, Arroyo Grande, CA 93420 Phone: 805-540-1902 | |
Mrs. Zehra Dos Santos, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 130 W Branch St Ste B, Arroyo Grande, CA 93420 Phone: 805-710-8081 | |
Amber L Gambel, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 136 S Halcyon Rd, Arroyo Grande, CA 93420 Phone: 805-835-9406 | |
Brittany Bovee, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 318 E Branch St, Arroyo Grande, CA 93420 Phone: 424-254-9101 |