| Susan Carreon, MSW | |
|
15230 Lakeshore Dr, Clearlake, CA 95422-8107 | |
| (707) 995-4545 | |
| Not Available |
| Full Name | Susan Carreon |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 29 Years |
| Location | 15230 Lakeshore Dr, Clearlake, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780054080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 81688 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Adventist Health Clearlake Hospital Inc. | 3072421197 | 75 |
| Entity Name | Adventist Health Clearlake Hospital Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124018031 PECOS PAC ID: 3072421197 Enrollment ID: O20041112000573 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Carreon, MSW 15230 Lakeshore Dr, Clearlake, CA 95422-8107 Ph: () - | Susan Carreon, MSW 15230 Lakeshore Dr, Clearlake, CA 95422-8107 Ph: (707) 995-4545 |
Aileen Elizabeth Klein, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4543 | |
Marian Rose Pena, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4500 Fax: 707-995-2401 | |
Veronica Harrison, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4545 | |
Michael Hodson Street, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7000b S Center Dr, Clearlake, CA 95422 Phone: 707-508-6412 Fax: 707-274-9192 | |
Crystal Rodrigues, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7000b S Center Dr, Clearlake, CA 95422 Phone: 707-994-7090 | |
Robin Penelope Patton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4545 | |
Heather Kristine Kriken, MSW, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6945 Old Highway 53, Clearlake, CA 95422 Phone: 707-530-8931 |