Sarah Lynn Gibson, LCSW | |
115 Main St, El Segundo, CA 90245-3802 | |
(310) 737-2317 | |
Not Available |
Full Name | Sarah Lynn Gibson |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 115 Main St, El Segundo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952934424 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW82981 (California) | Primary |
Entity Name | Providence Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Mailing Address | Practice Location Address |
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Sarah Lynn Gibson, LCSW 5757 Ravenspur Dr Apt 24, Rancho Palos Verdes, CA 90275-3519 Ph: (503) 521-6225 | Sarah Lynn Gibson, LCSW 115 Main St, El Segundo, CA 90245-3802 Ph: (310) 737-2317 |
Randie Cloutier Chaine, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 302 W Grand Ave Ste 7, El Segundo, CA 90245 Phone: 424-262-5279 | |
Ms. Peggy Marie Delery, LCSW-BACS, C-SSWS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 483 N Aviation Blvd, 61 Mds/sgoh, El Segundo, CA 90245 Phone: 310-653-6860 Fax: 310-653-6737 | |
Teresa Campbell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 483 Aviation Blvd N, Bldg 210, El Segundo, CA 90245 Phone: 310-653-6860 Fax: 310-653-6737 | |
Amy Ruffolo Quinn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 302 W Grand Ave Ste 9, El Segundo, CA 90245 Phone: 724-816-9166 | |
Mr. Dylan Anthony Moore, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 N Douglas St Bldg 210, El Segundo, CA 90245 Phone: 310-653-6448 Fax: 310-653-6737 | |
Alison M Greiner, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 302 W Grand Ave, Suite 7, El Segundo, CA 90245 Phone: 310-784-7080 |