Gloria Fayetta Carroll (NPI# 1073067500, PAC ID# 9739468729) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1073067500 |
| PAC ID by PECOS | 9739468729 |
| Professional Enrollment ID | I20161115001298 |
| Full Name | Gloria Fayetta Carroll |
| Address |
631 Tennessee St Suite 202 Vallejo CA 94590-4432 |
| Phone Number | 9255650823 |
| Gender | F |
| Graduation Year | 1999 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 631 Tennessee St, Suite 202, Vallejo, CA 94590-4432 | 9255650823 |
| Street Address |
631 TENNESSEE ST SUITE 202 |
| City | VALLEJO |
| State | CA |
| Zip | 94590-4432 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Valerie Patton | Clinical Social Worker | 631 Tennessee St, Vallejo, CA 94590-4432 | |
| Kelly L. Horton | Psychologist, Clinical | 631 Tennessee St, Vallejo, CA 94590-4432 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia C Lim | General Practice | Concepcion and Lim Md Family Practice PC | 1646 Broadway St, Vallejo, CA 94590-2405 |
| Steve Lim | Family Medicine | Concepcion and Lim Md Family Practice PC | 1646 Broadway St, Vallejo, CA 94590-2405 |
| Sandy E Cortez | Registered Dietitian Or Nutrition Professional | 1646 Broadway St, Vallejo, CA 94590-2405 | |
| Darlene T Okura | Optometry | 3505 Sonoma Blvd, Suite 30, Vallejo, CA 94590-2920 | |
| John Geisse | Dermatology | Solano Dermatology Associates Inc | 2290 Sacramento St, Vallejo, CA 94590-2929 |
| Kyle J Goleno | Physician Assistant | Solano Dermatology Associates Inc | 2290 Sacramento St, Vallejo, CA 94590-2929 |
| Bashar Joseph Amso | Chiropractic | 1045 Redwood St, Vallejo, CA 94590-2956 | |
| Ryan Christian Thomas | Podiatry | Vallejo Foot and Ankle Clinic | 480 Redwood St, Suite 10, Vallejo, CA 94590-2958 |
| Paul David Weiner | Podiatry | Vallejo Foot and Ankle Clinic | 480 Redwood St, Suite 10, Vallejo, CA 94590-2958 |
| Ronald G Bieselin | General Surgery | 480 Redwood St, Suite 14, Vallejo, CA 94590-2958 | |
| Find all physicians in zip 94590 | |||
| City | VALLEJO |
| Zip Code | 94590 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | VALLEJO + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Gloria Fayetta Carroll.
| 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.