| Tara Christine Stafford, | |
|
30 Carlyle Ct, Danville, CA 94506-6147 | |
| (925) 980-0961 | |
| Not Available |
| Full Name | Tara Christine Stafford |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 30 Carlyle Ct, Danville, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730788217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 29674 (California) | Primary |
| Entity Name | Santa Rosa Community Health Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578631172 PECOS PAC ID: 0345130423 Enrollment ID: O20040319001444 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Christine Stafford, 135 Pinelawn Rd Ste 204n, Melville, NY 11747-3133 Ph: (844) 888-0355 | Tara Christine Stafford, 30 Carlyle Ct, Danville, CA 94506-6147 Ph: (925) 980-0961 |
Ms. Bonnie Rochelle Karmiol, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 913 San Ramon Valley Blvd, Suite 280, Danville, CA 94526 Phone: 925-830-1833 | |
Yana Kononovich, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 125 Heritage Park Dr, Danville, CA 94506 Phone: 925-392-5004 | |
Stephanie Peek, ACSW, PPSC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1503 Finley Road, Danville, CA 94526 Phone: 510-671-0607 | |
Ms. Sandra M Wasserman, PPS, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3131 Stone Valley Rd, Danville, CA 94526 Phone: 925-552-5530 | |
Aliza Benditsky Grosh, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 23 Railroad Ave Unit 13, Danville, CA 94526 Phone: 925-263-9641 | |
Jane Massengill, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 425 El Pintado Rd Ste 135, Danville, CA 94526 Phone: 925-831-1184 |