| Ms Alia Lauren Prince, LCSW | |
|
1742 Gateside Dr, Petaluma, CA 94954-3023 | |
| (707) 486-4064 | |
| Not Available |
| Full Name | Ms Alia Lauren Prince |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1742 Gateside Dr, 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 |
|---|---|---|---|
| 1568526309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 27114 (California) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Alia Lauren Prince, LCSW 1742 Gateside Dr, Petaluma, CA 94954-3023 Ph: (707) 486-4064 | Ms Alia Lauren Prince, LCSW 1742 Gateside Dr, Petaluma, CA 94954-3023 Ph: (707) 486-4064 |
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 | |
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 | |
Ms. Patricia Sue Yardley, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 7 4th St, Ste 62, Petaluma, CA 94952 Phone: 503-853-6847 |