| Mr Dusty G Mcleod, | |
|
1400 S Union Ave, Suite 100, Bakersfield, CA 93307-4179 | |
| (661) 397-8775 | |
| (661) 397-8286 |
| Full Name | Mr Dusty G Mcleod |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 1400 S Union Ave, Bakersfield, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356650246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW99984 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
| 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 |
|---|---|
| Mr Dusty G Mcleod, Po Box 1559, Bakersfield, CA 93302-1559 Ph: (661) 635-3050 | Mr Dusty G Mcleod, 1400 S Union Ave, Suite 100, Bakersfield, CA 93307-4179 Ph: (661) 397-8775 |
Mrs. Janelle Jensen Goh, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2322 18th St, Bakersfield, CA 93301 Phone: 661-549-7502 |
Juan Enriquez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3628 Stockdale Hwy, Bakersfield, CA 93309 Phone: 661-322-1021 |
Ms. Natasha Martinez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9808 Oporto Way, Bakersfield, CA 93306 Phone: 661-564-4000 |
Jessica Noemi Herrera, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3117 Wilson Rd, Bakersfield, CA 93304 Phone: 661-324-4756 Fax: 661-617-2099 |
Phyllis E. Walker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5121 Stockdale Hwy Ste 275, Bakersfield, CA 93309 Phone: 661-868-5000 Fax: 661-868-8834 |
Ingrid Montes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4900 California Ave Ste 200, Bakersfield, CA 93309 Phone: 855-323-2700 |
Soraya Dustin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4900 California Ave, Tower B 2nd Fl, Bakersfield, CA 93309 Phone: 901-422-7636 |