| Kimberly Richardson, | |
|
1911 Douglas Blvd # 85-408, Roseville, CA 95661-3811 | |
| (626) 824-9855 | |
| Not Available |
| Full Name | Kimberly Richardson |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1911 Douglas Blvd # 85-408, Roseville, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306194543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 5925 (Louisiana) | Secondary |
| 1041C0700X | Social Worker - Clinical | 28670 (California) | Primary |
| Entity Name | Cyti Health PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679172290 PECOS PAC ID: 4587012950 Enrollment ID: O20231122002919 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Richardson, 1911 Douglas Blvd # 85-408, Roseville, CA 95661-3811 Ph: Not Available | Kimberly Richardson, 1911 Douglas Blvd # 85-408, Roseville, CA 95661-3811 Ph: (626) 824-9855 |
Craig David Bissell, LCSW/ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 248 Folsom Rd, Roseville, CA 95678 Phone: 916-812-3824 |
Keby Reese, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Po Box 334, Roseville, CA 95661 Phone: 916-546-3044 |
Ms. Patience Tsuruko Taba, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 775 Sunrise Ave Ste 120, Roseville, CA 95661 Phone: 916-600-2838 Fax: 916-773-0965 |
Suzanne Garafolo, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 333 Sunrise Ave Ste 701, Roseville, CA 95661 Phone: 916-783-5207 |
Catherine Matthews, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1780 Vernon St Ste 1, Roseville, CA 95678 Phone: 916-782-1111 Fax: 916-782-4544 |
Mayra Mireles Jacobo, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 Cirby Hills Dr, Roseville, CA 95678 Phone: 916-787-8867 |
Mrs. Camille Lynne Danos, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1600 E Roseville Parkway, Roseville, CA 95661 Phone: 916-973-5300 |