| Kentara Gaines, LCSW | |
|
100 Phillips Dr, Sausalito, CA 94965-1172 | |
| (415) 339-8813 | |
| (415) 339-8814 |
| Full Name | Kentara Gaines |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 100 Phillips Dr, Sausalito, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508269812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 121425 (California) | Primary |
| Entity Name | Marin City Health and Wellness Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285804948 PECOS PAC ID: 1052451259 Enrollment ID: O20091221000011 |
| 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 |
|---|---|
| Kentara Gaines, LCSW 100 Phillips Dr, Sausalito, CA 94965-1172 Ph: (415) 339-8813 | Kentara Gaines, LCSW 100 Phillips Dr, Sausalito, CA 94965-1172 Ph: (415) 339-8813 |
Mr. David Cabot Klingman, M.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 33 Buchanan Dr, Sausalito, CA 94965 Phone: 415-331-6161 |
Patricia Lee Morin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 347 Eden Roc, Sausalito, CA 94965 Phone: 415-328-1050 |
Jeffrey Lawrence Farber, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 429a Turney St, Sausalito, CA 94965 Phone: 408-340-0260 |
Camilla Coakley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 36 Wray Ave, Sausalito, CA 94965 Phone: 415-758-2343 |
Mrs. Erika Ducati, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3030 Bridgeway Ste 242, Sausalito, CA 94965 Phone: 415-225-6894 |
Laura Lee Phillips, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 Valley St Ste 204, Sausalito, CA 94965 Phone: 207-615-3552 |
Melissa Newton, Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 427 Sherwood Dr Apt 103, Sausalito, CA 94965 Phone: 650-293-7883 |