| Ms Shamerin Bourang, LCSW | |
|
1225 Oakdale Rd, Modesto, CA 95355-3357 | |
| (209) 557-6213 | |
| Not Available |
| Full Name | Ms Shamerin Bourang |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1225 Oakdale Rd, Modesto, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013459874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | ASW74304 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 83006 (California) | Primary |
| Entity Name | Forward Wellness Family Therapy Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093398059 PECOS PAC ID: 9739546144 Enrollment ID: O20230530002815 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Shamerin Bourang, LCSW 1225 Oakdale Rd, Modesto, CA 95355-3357 Ph: (209) 667-9711 | Ms Shamerin Bourang, LCSW 1225 Oakdale Rd, Modesto, CA 95355-3357 Ph: (209) 557-6213 |
Leticia Gomez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1604 Ford Ave Ste 9, Modesto, CA 95350 Phone: 209-353-2522 | |
Mr. William Leon Boddie Ii, L.C.S.W Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1524 Mchenry Ave, Suite # 450, Modesto, CA 95350 Phone: 209-557-6217 Fax: 209-557-9032 | |
Diana Faith Kigenyi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1225 Oakdale Road, Modesto, CA 95355 Phone: 209-557-6200 | |
Mrs. Maria Edith Martinez, MSW,ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2000 W Briggsmore Ave Ste I, Modesto, CA 95350 Phone: 209-526-1476 | |
Paul Samuel Crenshaw, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 726 14th St Ste A, Modesto, CA 95354 Phone: 209-614-1440 | |
Vanessa Alexandra Sandoval, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2000 W Briggsmore Ave Ste 1, Modesto, CA 95350 Phone: 209-526-1476 |