Angie Sandoval (NPI# 1356500896, PAC ID# 3375813512) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1356500896 |
| PAC ID by PECOS | 3375813512 |
| Professional Enrollment ID | I20170721000688 |
| Full Name | Angie Sandoval |
| Organization Legal Name | GENUINE DBT LICENSED CLINICAL SOCIAL WORKER INC |
| Address |
572 Rio Lindo Ave Suite 204 Chico CA 95926-1851 |
| Phone Number | 5308090066 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 5597075747 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 572 Rio Lindo Ave, Suite 204, Chico, CA 95926-1851 | 5308090066 | GENUINE DBT LICENSED CLINICAL SOCIAL WORKER INC |
| Organization Legal Name | GENUINE DBT LICENSED CLINICAL SOCIAL WORKER INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael S Courter | Clinical Social Worker | Genuine Dbt Licensed Clinical Social Worker Inc | 572 Rio Lindo Ave, Suite 204, Chico, CA 95926-1851 |
| Street Address |
572 RIO LINDO AVE SUITE 204 |
| City | CHICO |
| State | CA |
| Zip | 95926-1851 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Madelyn Holzman | Urology | 572 Rio Lindo Ave, Suite 201, Chico, CA 95926-1851 | |
| Ta'shanne Watu Horn | Clinical Social Worker | Nysa Therapy Inc | 572 Rio Lindo Ave, Suite 203, Chico, CA 95926-1851 |
| Stephen Diggs | Psychologist, Clinical | Nysa Therapy Inc | 572 Rio Lindo Ave, Suite 203, Chico, CA 95926-1851 |
| Michele Lando | Clinical Social Worker | Nysa Therapy Inc | 572 Rio Lindo Ave, Suite 108, Chico, CA 95926-1851 |
| Michael S Courter | Clinical Social Worker | Genuine Dbt Licensed Clinical Social Worker Inc | 572 Rio Lindo Ave, Suite 204, Chico, CA 95926-1851 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa Mari Winslow | Clinical Social Worker | 2220 St George Lan, Suite 2, Chico, CA 95926 | |
| Roberto Illa | Endocrinology | 1068 E Ave, A1, Chico, CA 95926-1015 | |
| Lauri L Greitzer | Chiropractic | 389 Connors Ct, Suite C, Chico, CA 95926-1177 | |
| Karen Escott | Chiropractic | 389 Connors Ct, Suite C, Chico, CA 95926-1177 | |
| James Ooi | General Practice | James P Ooi Md Inc | 383 Connors Ct, Suite F, Chico, CA 95926-1178 |
| Walter O Lysinger | Certified Registered Nurse Anesthetist | 605 E Ave, Chico, CA 95926-1206 | |
| Kay Gallegos | Psychologist, Clinical | 2260 Saint George Ln, Suite 2, Chico, CA 95926-1311 | |
| Darlene Cheryl | Clinical Social Worker | 2251 Saint George Ln, Suite G, Chico, CA 95926-1359 | |
| Randall Caviness | General Practice | 1279 E 1st Ave, Suite A, Chico, CA 95926-1542 | |
| Stephanie R Leask | Chiropractic | 1279 E 1st Ave B, Chico, CA 95926-1542 | |
| Find all physicians in zip 95926 | |||
| City | CHICO |
| Zip Code | 95926 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | CHICO + CLINICAL SOCIAL WORKER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.