Cary Brannon Clevenger, LCSW | |
5 Mareblu, Aliso Viejo, CA 92656-3014 | |
(949) 643-6935 | |
Not Available |
Full Name | Cary Brannon Clevenger |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 5 Mareblu, Aliso Viejo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386938793 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCS19005 (California) | Primary |
Entity Name | Mendocino Community Health Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497961106 PECOS PAC ID: 6305755455 Enrollment ID: O20040826001483 |
Mailing Address | Practice Location Address |
---|---|
Cary Brannon Clevenger, LCSW 405 W 5th St Ste 202, Santa Ana, CA 92701-4525 Ph: (714) 834-3413 | Cary Brannon Clevenger, LCSW 5 Mareblu, Aliso Viejo, CA 92656-3014 Ph: (949) 643-6935 |
Amy Elizabeth O'neill, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5 Mareblu, Aliso Viejo, CA 92656 Phone: 949-643-6901 | |
Ms. Cynthia Elaine Roe, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 24502 Pacific Park Dr, Aliso Viejo, CA 92656 Phone: 714-223-2604 | |
Melody Garcia Paschen, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5 Mareblu Ste 100, Aliso Viejo, CA 92656 Phone: 949-643-6900 | |
Ms. Tal Gat, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5 Mareblu, Suite 100, Aliso Viejo, CA 92656 Phone: 949-643-6965 | |
Marie Miao, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 26895 Aliso Creek Rd Ste B-1013, Aliso Viejo, CA 92656 Phone: 949-630-0584 | |
Mrs. Iman Ashlee Al Hawasli, MSW, LCSW, PPSC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5 Mareblu # 100, Aliso Viejo, CA 92656 Phone: 949-643-6900 |