| Mrs Theresa L Harris, LCSW | |
|
855 Canyon Rd, Redding, CA 96001-5544 | |
| (530) 223-2822 | |
| (530) 223-1917 |
| Full Name | Mrs Theresa L Harris |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 855 Canyon Rd, Redding, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750612933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | ASW 69570 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 101988 (California) | Primary |
| Entity Name | St Lukes Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Theresa L Harris, LCSW 855 Canyon Rd, Redding, CA 96001-5544 Ph: (530) 223-2822 | Mrs Theresa L Harris, LCSW 855 Canyon Rd, Redding, CA 96001-5544 Ph: (530) 223-2822 |
Kaitlyn Marie Green, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 481 Ridgecrest Trl, Redding, CA 96003 Phone: 530-941-4005 | |
Ernesto Cervantes, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1035 Placer St, Redding, CA 96001 Phone: 530-246-5710 Fax: 530-241-7838 | |
Caren Lynn Wilds, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2640 Breslauer Way, Redding, CA 96001 Phone: 530-225-5973 | |
Ms. Roxanna Marie Zalesny, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1313 Yuba Street, Redding, CA 96001 Phone: 530-225-3885 | |
Tammy Allan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1945 Shasta St Ste E1, Redding, CA 96001 Phone: 530-945-6596 | |
Felicia Marie Gardner, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1415 Court St, Redding, CA 96001 Phone: 530-242-5709 | |
Bonnie Jean Beffa, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2640 Breslauer Way, Redding, CA 96001 Phone: 530-225-5200 |