Carolette Yvonne King, | |
15740 Turnberry St, Moreno Valley, CA 92555-4903 | |
(951) 370-1470 | |
(800) 319-9384 |
Full Name | Carolette Yvonne King |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 15740 Turnberry St, Moreno Valley, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780259655 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW99468 (California) | Primary |
Entity Name | Mission City Community Network, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710102009 PECOS PAC ID: 1658264684 Enrollment ID: O20040204000544 |
Mailing Address | Practice Location Address |
---|---|
Carolette Yvonne King, 6185 Magnolia Ave Ste 210, Riverside, CA 92506-2524 Ph: (951) 370-1470 | Carolette Yvonne King, 15740 Turnberry St, Moreno Valley, CA 92555-4903 Ph: (951) 370-1470 |
Luciana Hsu, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13800 Heacock St Ste D111, Moreno Valley, CA 92553 Phone: 951-653-1800 Fax: 951-653-1815 | |
Jillian Mika Ogata, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: Riverside University Health System, 26520 Cactus Ave., Moreno Valley, CA 92555 Phone: 951-486-4000 | |
Shawna Bramel, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 27300 Iris Ave, Moreno Valley, CA 92555 Phone: 951-251-6007 Fax: 951-251-6077 | |
Kehau Kalani Kuala Gilbert, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 23119 Cottonwood Ave Ste 100, Moreno Valley, CA 92553 Phone: 951-413-3509 | |
Shelley Thomas-robinson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 23470 Olive Wood Plaza Dr, Suite 140, Moreno Valley, CA 92553 Phone: 951-242-6039 | |
Mrs. Keli-rae Weisenberger, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 24655 Moonlight Dr, Moreno Valley, CA 92551 Phone: 951-520-6168 | |
Victoria Leah Snyder, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12815 Heacock St, Moreno Valley, CA 92553 Phone: 951-601-6174 Fax: 951-601-6224 |