| Wynetta Renee Martin, LCSW | |
|
9727 Elk Grove Florin Rd Ste 115, Elk Grove, CA 95624-2265 | |
| (916) 400-0505 | |
| (916) 848-0511 |
| Full Name | Wynetta Renee Martin |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 9727 Elk Grove Florin Rd Ste 115, Elk Grove, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255533220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCS24409 (California) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Wynetta Renee Martin, LCSW 2356 Gold Meadow Way Ste 110, Gold River, CA 95670-6330 Ph: (916) 400-0505 | Wynetta Renee Martin, LCSW 9727 Elk Grove Florin Rd Ste 115, Elk Grove, CA 95624-2265 Ph: (916) 400-0505 |
Kimberly T Johnson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9201 Big Horn Blvd, Elk Grove, CA 95758 Phone: 916-478-5861 | |
Miss Betty Jung, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9412 Big Horn Blvd Ste 6, Elk Grove, CA 95758 Phone: 916-879-3940 | |
Avishek Prasad, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3161 Dwight Rd, Elk Grove, CA 95758 Phone: 916-364-8395 | |
Mr. Mark Villarreal, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8841 Williamson Dr Ste 20, Elk Grove, CA 95624 Phone: 408-655-8358 Fax: 916-686-5552 | |
Mrs. Evangeline E Freathy, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9512 Nicole Ln, Elk Grove, CA 95758 Phone: 916-718-0794 | |
Mr. David B Fahn, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12500 Bruceville Rd, Elk Grove, CA 95757 Phone: 916-874-1042 | |
Lyndsie Helene Harris, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9412 Big Horn Blvd Ste 6, Elk Grove, CA 95758 Phone: 916-710-5874 |