Anne Therese Chicoine, MSW LCSW | |
44199 Monroe St Ste C, Indio, CA 92201-3094 | |
(760) 863-2907 | |
(760) 863-2943 |
Full Name | Anne Therese Chicoine |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 44199 Monroe St Ste C, Indio, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447366752 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCS 21634 (California) | Primary |
Entity Name | Blue Moon Senior Counseling Of California Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447678990 PECOS PAC ID: 9335360981 Enrollment ID: O20141023000497 |
Mailing Address | Practice Location Address |
---|---|
Anne Therese Chicoine, MSW LCSW 44199 Monroe St Ste C, Indio, CA 92201-3094 Ph: (760) 863-2907 | Anne Therese Chicoine, MSW LCSW 44199 Monroe St Ste C, Indio, CA 92201-3094 Ph: (760) 863-2907 |
Ms. Suzanne Lucretia Garrison, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 47915 Oasis St, Indio, CA 92201 Phone: 760-863-8585 | |
Noelia Sanchez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 47825 Oasis St, Indio, CA 92201 Phone: 760-898-1884 | |
Maria Guadalupe Chavez-brown, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 83445 Wagon Rd, Indio, CA 92203 Phone: 760-574-3514 | |
Mitchell Blum, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 50385 Logan Creek Dr, Indio, CA 92201 Phone: 760-708-1482 | |
Mr. Alfredo M. Huerta, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 47825 Oasis St, Indio, CA 92201 Phone: 760-863-8455 Fax: 760-863-8587 | |
Heather Torres, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 47915 Oasis St, Indio, CA 92201 Phone: 760-863-8628 | |
Diane Wagman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 81268 Avenida Tres Lagunas, Indio, CA 92203 Phone: 818-970-4913 |