| Lisa Cortez, LCSW | |
|
2215 Blue Gum Ave, Modesto, CA 95358-1052 | |
| (209) 567-4766 | |
| Not Available |
| Full Name | Lisa Cortez |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 2215 Blue Gum Ave, Modesto, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235539859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 88137 (California) | Primary |
| 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 |
|---|---|
| Lisa Cortez, LCSW 916 Mchenry Ave, Modesto, CA 95350-5417 Ph: () - | Lisa Cortez, LCSW 2215 Blue Gum Ave, Modesto, CA 95358-1052 Ph: (209) 567-4766 |
Leticia Gomez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1604 Ford Ave Ste 9, Modesto, CA 95350 Phone: 209-353-2522 | |
Mr. William Leon Boddie Ii, L.C.S.W Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1524 Mchenry Ave, Suite # 450, Modesto, CA 95350 Phone: 209-557-6217 Fax: 209-557-9032 | |
Diana Faith Kigenyi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1225 Oakdale Road, Modesto, CA 95355 Phone: 209-557-6200 | |
Ms. Shamerin Bourang, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1225 Oakdale Rd, Modesto, CA 95355 Phone: 209-557-6213 | |
Mrs. Maria Edith Martinez, MSW,ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2000 W Briggsmore Ave Ste I, Modesto, CA 95350 Phone: 209-526-1476 | |
Paul Samuel Crenshaw, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 726 14th St Ste A, Modesto, CA 95354 Phone: 209-614-1440 | |
Vanessa Alexandra Sandoval, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2000 W Briggsmore Ave Ste 1, Modesto, CA 95350 Phone: 209-526-1476 |