| Robert Butler Basque, LCSW | |
|
3344 4th Ave Ste 200, San Diego, CA 92103-5704 | |
| (760) 523-9000 | |
| Not Available |
| Full Name | Robert Butler Basque |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 3344 4th Ave Ste 200, San Diego, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811612021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 110772 (California) | Primary |
| Entity Name | Family Health Centers Of San Diego Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447281936 PECOS PAC ID: 3476446378 Enrollment ID: O20040204000923 |
| Entity Name | Bosco Therapy Lcsw Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245967025 PECOS PAC ID: 9931577210 Enrollment ID: O20221117000261 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Butler Basque, LCSW Po Box 3026, San Diego, CA 92163-1026 Ph: (760) 523-9000 | Robert Butler Basque, LCSW 3344 4th Ave Ste 200, San Diego, CA 92103-5704 Ph: (760) 523-9000 |
Ms. Sonya None Starr, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4660 Palm Ave, San Diego, CA 92154 Phone: 619-662-5000 | |
Evelina Jaime, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 286 Euclid Ave, Suite 102, San Diego, CA 92114 Phone: 619-266-2111 Fax: 619-266-0496 | |
Channing Gredvig, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3420 Kenyon St, San Diego, CA 92110 Phone: 619-221-6550 Fax: 619-221-6556 | |
Mr. Javier Perez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2305 Meade Ave, 3, San Diego, CA 92116 Phone: 619-787-2534 | |
Noemi Ana Mitzel, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6977 Navajo Rd # 654, San Diego, CA 92119 Phone: 619-382-8662 | |
Leah Bogopulsky, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3020 Childrens Way # 5100, San Diego, CA 92123 Phone: 858-966-1700 | |
Dawnn Marie Mendoza Guray, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8775 Aero Dr Ste 132, San Diego, CA 92123 Phone: 858-609-8742 |