Alex Petro, MSW, LCSW | |
240 W Chapman Ave Ste 200, Orange, CA 92866-1316 | |
(619) 363-1921 | |
Not Available |
Full Name | Alex Petro |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 240 W Chapman Ave Ste 200, Orange, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1891455390 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | 103595 (California) | Primary |
Entity Name | Opnmynd Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972258796 PECOS PAC ID: 2567830730 Enrollment ID: O20221118001001 |
Entity Name | Myndloft Licensed Clinical Social Worker Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093415481 PECOS PAC ID: 9335588466 Enrollment ID: O20240422002102 |
Mailing Address | Practice Location Address |
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Alex Petro, MSW, LCSW Po Box 3340, Tustin, CA 92781-3340 Ph: (619) 363-1921 | Alex Petro, MSW, LCSW 240 W Chapman Ave Ste 200, Orange, CA 92866-1316 Ph: (619) 363-1921 |
Melinda Jane Berge Echeverria, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1855 W Katella Ave Ste 150, Orange, CA 92867 Phone: 714-399-3480 | |
Shannon Leigh Nichols, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7317 E Morninglory Way, Orange, CA 92869 Phone: 714-309-1156 | |
Ms. Martha Alena Hughes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 700 W La Veta Ave Unit O20, Orange, CA 92868 Phone: 714-394-3579 Fax: 714-394-3579 | |
Geraldine Date, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-456-5523 Fax: 714-456-2890 | |
Eunice Young Kim, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1120 W La Veta Ave Ste 660, Orange, CA 92868 Phone: 657-251-7500 | |
Ms. Mala Leao, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2440 E. Vanowen Ave., Orange, CA 92867 Phone: 714-651-0582 | |
Michelle Marie Zare, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1100 W Town And Country Rd Ste 1250, Orange, CA 92868 Phone: 657-339-2799 |