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Lisa Carmel Galan-De Martinez

Social Worker

Behavioral Health & Social Service Providers

2500 Merced St, San Leandro, CA 94577-4201

PECOS Enrollment

This provider is enrolled in PECOS as LISA GALAN DE MARTINEZ.

Based on the most recent information from CMS, provider Lisa Carmel Galan-De Martinez is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1841351327
Provider Type
Individual
Full Name
Galan-De Martinez, Lisa Carmel
Title
Ms.
Credential
LCSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
12/12/2006
Last Updated
2/11/2022

Contact Information

Practice Location

2500 Merced St, San Leandro, CA 94577-4201

(510) 454-1000

Unlisted Fax

Mailing Location

2500 Merced St, San Leandro, CA 94577-4201

(510) 454-1000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License LCS15858 California

Lisa Carmel Galan-De Martinez

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Rosen, Andrew

Cage-Watson, Renee L

Katuala, Colette

Stamnes, Catherine E

Brooks, Katlin

Newman-Zager, Chandrika

Grimm, Norma P.

Olson, Tristan

Federman, Leemore

Vu, Lan Ngoc