| Ms Wendy Shaw-lyons, LCSW | |
|
401 Bicentennial Way, Santa Rosa, CA 95403-0929 | |
| (707) 571-3893 | |
| (707) 571-3749 |
| Full Name | Ms Wendy Shaw-lyons |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 401 Bicentennial Way, Santa Rosa, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982756532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCS15938 (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 Wendy Shaw-lyons, LCSW 401 Bicentennial Way, Santa Rosa, CA 95403-2149 Ph: (707) 571-3893 | Ms Wendy Shaw-lyons, LCSW 401 Bicentennial Way, Santa Rosa, CA 95403-0929 Ph: (707) 571-3893 |
Mrs. Erin O. Liiv, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1300 N Dutton Ave, Santa Rosa, CA 95401 Phone: 707-303-3600 | |
Cristina Corey Schroen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-2536 | |
Felicia Reynolds, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 341 Irwin Ln, Santa Rosa, CA 95401 Phone: 707-360-1500 | |
Karen Helene Littell, MSW, ASW, PPSC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 320 10th St Ste 200, Santa Rosa, CA 95401 Phone: 707-299-9132 | |
Marcelle Dominguez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 576 B St, Suite 1-b, Santa Rosa, CA 95401 Phone: 707-339-0398 | |
Mrs. Paula D Shatkin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1360 N Dutton Ave Ste C, Santa Rosa, CA 95401 Phone: 707-303-1531 Fax: 707-571-8195 | |
David William Mcgahee, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 144 Stony Point Rd, Santa Rosa, CA 95401 Phone: 707-521-4545 |