| Mr Richard A Shoninger, | |
|
11 Freedom Ln S, Petaluma, CA 94952-2164 | |
| (707) 766-8571 | |
| Not Available |
| Full Name | Mr Richard A Shoninger |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 11 Freedom Ln S, Petaluma, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629133160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCS15306 (California) | Primary |
| Entity Name | Psych Strategies Inc A Psychological Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699775411 PECOS PAC ID: 0446144497 Enrollment ID: O20040210001132 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Richard A Shoninger, 901 Nevin Ave, Psychiatry Dept, Richmond, CA 94801-3143 Ph: (510) 307-1624 | Mr Richard A Shoninger, 11 Freedom Ln S, Petaluma, CA 94952-2164 Ph: (707) 766-8571 |
Ms. Judy B Iwanier, MSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5 Keller St, # 2, Petaluma, CA 94952 Phone: 310-423-0736 | |
Lorena Yanez-ramirez, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1179 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-559-7500 | |
Mayra Gonzalez, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1179 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-559-7500 Fax: 707-559-7620 | |
Mr. Robert O Butler, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 40 4th St Ste 224, Petaluma, CA 94952 Phone: 707-241-3003 | |
Robin Kobrin Aquino, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1668 San Marino Dr, Petaluma, CA 94954 Phone: 209-601-6964 | |
Rebecca A Stanwyck, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: Po Box 2511, Petaluma, CA 94953 Phone: 510-881-2540 | |
Marilyn Lee Jaffe, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 508 West St, Petaluma, CA 94952 Phone: 707-318-3912 |