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NPI Code Detail

MEDICARE: GABRIEL PHILLIP FERREIRA ASW126517

MEDICARE: GABRIEL PHILLIP FERREIRA ASW126517
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
11041C0700XClinical Social WorkerASW126517CA

General Provider Information

NPI Number : 1184581191
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABRIEL PHILLIP FERREIRA ASW126517
Provider Business Mailing Address
First Line : 9890 KEY WEST WAY
Second Line :
City : DISCOVERY BAY
State : CA
Zip : 94505-2676
Country : US
Telephone Number : 415-316-9435
Fax Number :
Provider Business Practice Location Address
First Line : 6707 EMBARCADERO DR
Second Line :
City : STOCKTON
State : CA
Zip : 95219-3382
Country : US
Telephone Number : 209-956-4240
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2026
Last Update Date : 01/09/2026

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Directions to “ GABRIEL PHILLIP FERREIRA ASW126517” Practice Location

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