| Stephanie Dorsey, LCSW | |
|
111 Main St Unit 37, San Andreas, CA 95249-9332 | |
| (209) 297-1911 | |
| Not Available |
| Full Name | Stephanie Dorsey |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 111 Main St Unit 37, San Andreas, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629464532 | NPI | - | NPPES |
| 0501 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW113580 (California) | Primary |
| Entity Name | Sud Specialty Group - Ca |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972138238 PECOS PAC ID: 9537534177 Enrollment ID: O20230412001370 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Dorsey, LCSW Po Box 1113, San Andreas, CA 95249-1113 Ph: (209) 418-8628 | Stephanie Dorsey, LCSW 111 Main St Unit 37, San Andreas, CA 95249-9332 Ph: (209) 297-1911 |
Christa Thompson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 23 W Saint Charles St, San Andreas, CA 95249 Phone: 209-813-2083 | |
Karen Pekarcik, LCSW 80071 Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 704 Mountain Ranch Rd, San Andreas, CA 95249 Phone: 209-754-6525 | |
Mr. Francis Mark Mccormick, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 891 Mountain Ranch Rd, San Andreas, CA 95249 Phone: 209-754-6525 | |
Karen Karam, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 704 Mountain Ranch Rd, San Andreas, CA 95249 Phone: 209-754-4410 | |
Suzanne Ballen, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 891 Mountain Ranch Rd, San Andreas, CA 95249 Phone: 209-754-6525 | |
George 'dean' White, L.C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 768 Mountain Ranch Rd, San Andreas, CA 95249 Phone: 209-754-2538 | |
Pilar Majors, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16b Main Street, San Andreas, CA 95249 Phone: 209-419-3702 |