Ryan Butler, | |
1675 Northcrest Dr, Crescent City, CA 95531-8928 | |
(707) 464-2750 | |
Not Available |
Full Name | Ryan Butler |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 1675 Northcrest Dr, Crescent City, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356755581 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 5868004-3501 (Utah) | Primary |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
Entity Name | Confederated Tribes Of The Goshute Reservation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750510277 PECOS PAC ID: 0042451650 Enrollment ID: O20130724000653 |
Mailing Address | Practice Location Address |
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Ryan Butler, 1600 Weeot Way, Arcata, CA 95521-4734 Ph: (707) 825-5000 | Ryan Butler, 1675 Northcrest Dr, Crescent City, CA 95531-8928 Ph: (707) 464-2750 |
Carol Ann Kays, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 206 Williams Dr, Crescent City, CA 95531 Phone: 707-464-7224 Fax: 707-465-4272 | |
Ms. Cindy J Fox, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5905 Lake Earl Dr, Crescent City, CA 95532 Phone: 707-465-1000 Fax: 707-465-9150 | |
Tara Jane White, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 550 E Washington Blvd, Crescent City, CA 95531 Phone: 707-465-6925 Fax: 707-465-6070 | |
Alfred J Howe, BSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 370 9th St, Crescent City, CA 95531 Phone: 707-464-4349 Fax: 707-464-4572 | |
Mr. Patrick Everett Quivey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 370 9th St, Crescent City, CA 95531 Phone: 707-464-4349 | |
Mr. Vincent Anthony Cappello, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 608 G St # 1, Crescent City, CA 95531 Phone: 707-954-1109 | |
Trevor Roberts, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2626 Maher Ave, Crescent City, CA 95531 Phone: 916-216-6065 |