| Mr Mark Anthony Tiano, | |
|
Po Box 691437, Stockton, CA 95269-1437 | |
| (209) 693-7037 | |
| Not Available |
| Full Name | Mr Mark Anthony Tiano |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | Po Box 691437, Stockton, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841623535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW88442 (California) | Primary |
| Entity Name | County of San Joaquin |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215028931 PECOS PAC ID: 6002703436 Enrollment ID: O20050915001095 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mark Anthony Tiano, Po Box 691437, Stockton, CA 95269-1437 Ph: (209) 693-7037 | Mr Mark Anthony Tiano, Po Box 691437, Stockton, CA 95269-1437 Ph: (209) 693-7037 |
Donna L Bickham, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1212 N California St, Stockton, CA 95202 Phone: 209-953-7313 Fax: 209-468-9633 |
Krystal Madeline Avila, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2495 W March Ln, Stockton, CA 95207 Phone: 209-465-1080 |
Shani Dharmasena, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1545 Saint Marks Plz, Stockton, CA 95207 Phone: 209-741-7888 |
Ms. Carol Jeanne Willmett, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1212 N California St, Stockton, CA 95202 Phone: 209-468-8296 Fax: 209-468-3516 |
Tiffany Dewitte, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1212 N California St, Stockton, CA 95202 Phone: 209-468-7462 |
Mrs. Torrie Alyn-hughes Piasecki, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2105 W March Ln Ste 2, Stockton, CA 95207 Phone: 209-792-2759 |
Grace M Nunes, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2495 W March Ln Ste 125, Stockton, CA 95207 Phone: 209-465-1080 Fax: 209-465-2709 |