| Mr Gregg A Moore, LCSW | |
|
5776 Stoneridge Mall Rd Ste 300, Pleasanton, CA 94588-4522 | |
| (855) 501-1004 | |
| (925) 556-0485 |
| Full Name | Mr Gregg A Moore |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 5776 Stoneridge Mall Rd Ste 300, Pleasanton, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396854030 | NPI | - | NPPES |
| 01649605 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 93305 (California) | Primary |
| 1041C0700X | Social Worker - Clinical | R070522 (New York) | Secondary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221117000517 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Gregg A Moore, LCSW 3835 N Freeway Blvd Ste 100, Sacramento, CA 95834-1954 Ph: (916) 576-7900 | Mr Gregg A Moore, LCSW 5776 Stoneridge Mall Rd Ste 300, Pleasanton, CA 94588-4522 Ph: (855) 501-1004 |
Ms. :holly Akli, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4361 Railroad Ave, Pleasanton, CA 94566 Phone: 925-201-6623 | |
Sue A Burkeen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 225 Spring St, Pleasanton, CA 94566 Phone: 925-846-7768 | |
Gary E Whitmer, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2934 Victoria Meadow Ct, Pleasanton, CA 94566 Phone: 510-548-0680 Fax: 800-242-5103 | |
Mr. Paul Thomas Del Bel, L.C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3730 Hopyard Rd, Suite 103, Pleasanton, CA 94588 Phone: 925-462-3010 Fax: 925-417-0947 | |
Dr. Jean Marie Scurria, PH.D., LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 855 Main St, Suite 210, Pleasanton, CA 94566 Phone: 925-846-1229 Fax: 925-846-7575 | |
Miss Damaris Perez, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6666 Owens Dr, Pleasanton, CA 94588 Phone: 925-201-6242 Fax: 925-485-1273 | |
Ms. April Lynn Scott, M.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 555 Peters Ave, Suite 260b, Pleasanton, CA 94566 Phone: 925-998-9537 Fax: 925-397-2142 |