| Michael Mabanglo, LCSW | |
|
333 Laws Ave, Ukiah, CA 95482-6540 | |
| (707) 468-1010 | |
| (707) 468-0174 |
| Full Name | Michael Mabanglo |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 22 Years |
| Location | 333 Laws Ave, Ukiah, California |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558431528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCS18876 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sonoma Valley Community Health Center | 6800708686 | 14 |
| Entity Name | Sonoma Valley Community Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770669715 PECOS PAC ID: 6800708686 Enrollment ID: O20091116000139 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Mabanglo, LCSW 333 Laws Ave, Ukiah, CA 95482-6540 Ph: (707) 468-1010 | Michael Mabanglo, LCSW 333 Laws Ave, Ukiah, CA 95482-6540 Ph: (707) 468-1010 |
Janet G Mendell, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 514 S School St, Ukiah, CA 95482 Phone: 707-272-4531 Fax: 707-462-3253 | |
Caroline Vidal, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 290 E. Gobbi St., Ukiah, CA 95482 Phone: 707-463-3300 | |
Mr. Terence James Stoekl, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 425 E. Gobbi St., #74, Ukiah, CA 95482 Phone: 707-463-8872 | |
Lily K Perez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Po Box 1754, Ukiah, CA 95482 Phone: 707-489-1635 | |
Diana Billy-elliott, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 169 Mason St Ste 300, Ukiah, CA 95482 Phone: 707-463-3300 | |
Lorelei J Hammond, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 406 W Standley St, Ukiah, CA 95482 Phone: 707-462-4154 Fax: 707-468-5618 | |
Miss Trilby Blythe Tuesday Kerrigan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Po Box 465, Ukiah, CA 95482 Phone: 707-380-4351 |