Kristen Heather Johnson, MSW | |
5651 Fairvale Way, Orangevale, CA 95662-5113 | |
(530) 218-2695 | |
Not Available |
Full Name | Kristen Heather Johnson |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 5651 Fairvale Way, Orangevale, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649313362 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCS 19871 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Kristen Heather Johnson, MSW 5651 Fairvale Way, Orangevale, CA 95662-5113 Ph: (530) 218-2695 | Kristen Heather Johnson, MSW 5651 Fairvale Way, Orangevale, CA 95662-5113 Ph: (530) 218-2695 |
Susan Tuana, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6524 Deaderick Ct, Orangevale, CA 95662 Phone: 916-728-1769 | |
Mrs. Erin Colleen Slattery, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8666 Blythe Ave, Orangevale, CA 95662 Phone: 916-312-1845 | |
Philippa Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9181 Madison Ave, #61, Orangevale, CA 95662 Phone: 916-293-9923 | |
Hannah Felder, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5801 Pecan Ave, Orangevale, CA 95662 Phone: 530-753-2566 | |
Lisa M. Lewis, L.C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 9268 Madison Ave, Orangevale, CA 95662 Phone: 916-988-1100 Fax: 916-966-3995 |