| Karen Ward, | |
|
10 N San Pedro Rd, 1020, San Rafael, CA 94903-4178 | |
| (415) 473-4306 | |
| Not Available |
| Full Name | Karen Ward |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 10 N San Pedro Rd, San Rafael, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912256603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 63409 (California) | Secondary |
| 104100000X | Social Worker | 63409 (California) | Secondary |
| 101YM0800X | Counselor - Mental Health | 63409 (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 |
|---|---|
| Karen Ward, 10 N San Pedro Rd, 1020, San Rafael, CA 94903-4178 Ph: (415) 473-4306 | Karen Ward, 10 N San Pedro Rd, 1020, San Rafael, CA 94903-4178 Ph: (415) 473-4306 |
Lisa Wynland Lukianoff, Counselor Medicare: Not Enrolled in Medicare Practice Location: 555 Northgate Dr, Family Service Agency Of Marin, San Rafael, CA 94903 Phone: 415-491-5700 | |
Sara Chambers, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 555 Northgate Dr Ste 100, Family Service Agency Of Marin, San Rafael, CA 94903 Phone: 415-491-5700 | |
Christopher A Jefferson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1466 Lincoln Ave, San Rafael, CA 94901 Phone: 805-766-9426 | |
Mr. Orlando Terrell Wiggins Sr., RADT Counselor Medicare: Not Enrolled in Medicare Practice Location: 603 D St, San Rafael, CA 94901 Phone: 415-492-4444 | |
Mr. Scott B. Raymer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 70 Skyview Ter, San Rafael, CA 94903 Phone: 415-491-0708 | |
Mr. Daniel Alan Linder, MA, MFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 710 C St, San Rafael, CA 94901 Phone: 415-456-0802 | |
Ms. Anneli Kim Richards, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 171 Carlos Dr, Bay Area Community Resources, San Rafael, CA 94903 Phone: 415-444-5580 Fax: 415-444-5598 |