| Sean A Rosas, LCSW | |
|
12383 Mays Canyon Rd, Guerneville, CA 95446 | |
| (707) 604-1400 | |
| (707) 922-5005 |
| Full Name | Sean A Rosas |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 12383 Mays Canyon Rd, Guerneville, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366004079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 126087 (California) | Primary |
| Entity Name | Woodland Nature Therapy Licensed Clinical Social Worker Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891518882 PECOS PAC ID: 7214461086 Enrollment ID: O20241115001975 |
| Mailing Address | Practice Location Address |
|---|---|
| Sean A Rosas, LCSW 12383 Mays Canyon Rd, Guerneville, CA 95446 Ph: (707) 604-1400 | Sean A Rosas, LCSW 12383 Mays Canyon Rd, Guerneville, CA 95446 Ph: (707) 604-1400 |
Julie Lee Mawod, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14379 Old Cazadero Rd, Guerneville, CA 95446 Phone: 707-604-7878 | |
Lorraine Mccue, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16312 Third St, Guerneville, CA 95446 Phone: 707-869-5977 Fax: 707-869-5976 | |
Debrah Elissa Lyons, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16390 Main St, Guerneville, CA 95446 Phone: 707-869-4009 |