| Stacy Nicolle Fekkers, LCSW | |
| 
					1312 Prentice Dr, Healdsburg, CA 95448-3381  | |
| (707) 433-3383 | |
| (707) 932-5305 | 
| Full Name | Stacy Nicolle Fekkers | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 1312 Prentice Dr, Healdsburg, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1629745120 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 103138 (California) | Primary | 
| Entity Name | Norcal Healthconnect Llc | 
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital | 
| Entity Identifiers | NPI Number: 1295342012 PECOS PAC ID: 2466864038 Enrollment ID: O20201224000686  | 
| Entity Name | Norcal Healthconnect Llc | 
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital | 
| Entity Identifiers | NPI Number: 1861009672 PECOS PAC ID: 2466864038 Enrollment ID: O20201225000001  | 
| Entity Name | Norcal Healthconnect Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1720695547 PECOS PAC ID: 2466864038 Enrollment ID: O20210308001127  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Stacy Nicolle Fekkers, LCSW 1312 Prentice Dr, Healdsburg, CA 95448-3381 Ph: (707) 433-3383  | Stacy Nicolle Fekkers, LCSW 1312 Prentice Dr, Healdsburg, CA 95448-3381 Ph: (707) 433-3383  | 
Mrs. Ana Maria Halstad, L.C.S.W Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1381 Unversirty Ave, Healdsburg, CA 95488 Phone: 707-391-1944  | |
Maria Guadalupe Juarez Sanchez, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1381 University St, Healdsburg, CA 95448 Phone: 707-433-5494 Fax: 707-385-2157  | |
Marianne Lee Rickards, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1381 University St, Healdsburg, CA 95448 Phone: 707-433-5494  | |
Amy Carolina Zenteno, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1381 University St, Healdsburg, CA 95448 Phone: 707-433-5494  | |
Cory Chechile, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 1st St, Healdsburg, CA 95448 Phone: 415-999-8867  | |
Keith Enders, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1375 University Avenue, Healdsburg, CA 95448 Phone: 707-431-6500  |