| Lisa Rose Castillo, LCSW | |
| 
					740 Beck Ave, Fairfield, CA 94533-4440  | |
| (707) 784-6570 | |
| Not Available | 
| Full Name | Lisa Rose Castillo | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 740 Beck Ave, Fairfield, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1134899453 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 102005 (California) | Primary | 
| Entity Name | Permanente Medical Group Inc | 
|---|---|
| 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 | 
|---|---|
| Lisa Rose Castillo, LCSW 2701 Del Paso Road, Suite 130 #247, Sacramento, CA 95835 Ph: () -  | Lisa Rose Castillo, LCSW 740 Beck Ave, Fairfield, CA 94533-4440 Ph: (707) 784-6570  | 
Jennifer Mikell Lincoln, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1325 Crowley Ln Apt 6, Fairfield, CA 94533 Phone: 707-228-6619  | |
Gilbert Saldo Gacilan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1234 Empire St, Fairfield, CA 94533 Phone: 510-317-1444  | |
Nancy Sandoval-morton,  Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 490 Chadbourne Rd Ste A155, Fairfield, CA 94534 Phone: 925-529-4978  | |
Ms. Cynthia Lynn Bott, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2101 Courage Dr, Fairfield, CA 94533 Phone: 707-784-2140  | |
Ms. Patttie M Fleishman,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2101 Courage Dr, Fairfield, CA 94533 Phone: 707-784-2140  | |
Michael G. Jogopulos, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 275 Beck Ave, Fairfield, CA 94533 Phone: 707-784-8216 Fax: 707-425-4230  | |
Katisha Lashaan Everett,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1745 Enterprise Drive, Bldg 2, Suite 1a, Fairfield, CA 94533 Phone: 707-416-4836  |