MEDICARE: MRS. JUDY ANN GALLEGO LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LCS17150	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	047321	OTHER	CA	MHN ID NUMBER

General Provider Information

NPI Number	:	1508076605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JUDY ANN GALLEGO LCSW

Provider Business Mailing Address
First Line	:	1537 BARN VALLEY LN
Second Line	:
City	:	LINCOLN
State	:	CA
Zip	:	95648-8607
Country	:	US
Telephone Number	:	916-852-5835
Fax Number	:	916-852-5838

Provider Business Practice Location Address
First Line	:	1537 BARN VALLEY LN
Second Line	:
City	:	LINCOLN
State	:	CA
Zip	:	95648-8607
Country	:	US
Telephone Number	:	916-852-5835
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2007
Last Update Date	:	02/07/2017

Similar Medicare Providers

1306630751 — COURTNEY T MIETZ DMD MS
Practice Location Address:

2295 FIELDSTONE DR STE 260
LINCOLN, CA
95648-8810

Practice Phone: 916-408-8688
Practice Fax:

1871449736 — SHANNON VAN BRUNT RN
Practice Location Address:

500 DARLINGTON WAY
LINCOLN, CA
95648-2923

Practice Phone: 408-688-1075
Practice Fax:

1346196839 — MRS. JULIA ROSEMARIE MADISON MS
Practice Location Address:

873 1ST ST
LINCOLN, CA
95648-1764

Practice Phone: 916-461-9197
Practice Fax:

1154277648 — PATRICIA RODRIGUEZ
Practice Location Address:

845 1ST ST
LINCOLN, CA
95648-1764

Practice Phone: 916-259-6137
Practice Fax:

1043219371 — LINCOLN MANOR, INC.
Practice Location Address:

1550 3RD ST
LINCOLN, CA
95648-1576

Practice Phone: 916-645-7761
Practice Fax: 916-645-1767

1548261951 — KRIS W MARTINSON D.D.S.
Practice Location Address:

805 HIGHWAY 65 , SUITE 20
LINCOLN, CA
95648-9336

Practice Phone: 916-434-7116
Practice Fax: 916-434-7078

Directions to “ MRS. JUDY ANN GALLEGO LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.