| Trevor Roberts, | |
|
2626 Maher Ave, Crescent City, CA 95531-9139 | |
| (916) 216-6065 | |
| Not Available |
| Full Name | Trevor Roberts |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 2626 Maher Ave, Crescent City, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235531567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 89718 (California) | Primary |
| Entity Name | County Of Lincoln |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992755664 PECOS PAC ID: 3375439862 Enrollment ID: O20040223000811 |
| Mailing Address | Practice Location Address |
|---|---|
| Trevor Roberts, Po Box 83, Crescent City, CA 95531-0083 Ph: (916) 216-6065 | Trevor Roberts, 2626 Maher Ave, Crescent City, CA 95531-9139 Ph: (916) 216-6065 |
Carol Ann Kays, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 206 Williams Dr, Crescent City, CA 95531 Phone: 707-464-7224 Fax: 707-465-4272 | |
Ms. Cindy J Fox, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5905 Lake Earl Dr, Crescent City, CA 95532 Phone: 707-465-1000 Fax: 707-465-9150 | |
Tara Jane White, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 550 E Washington Blvd, Crescent City, CA 95531 Phone: 707-465-6925 Fax: 707-465-6070 | |
Alfred J Howe, BSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 370 9th St, Crescent City, CA 95531 Phone: 707-464-4349 Fax: 707-464-4572 | |
Mr. Patrick Everett Quivey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 370 9th St, Crescent City, CA 95531 Phone: 707-464-4349 | |
Mr. Vincent Anthony Cappello, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 608 G St # 1, Crescent City, CA 95531 Phone: 707-954-1109 |