Christine Blalock Robertson, LCSW | |
22792 Centre Dr, Suite 101, Lake Forest, CA 92630-6304 | |
(949) 243-5333 | |
Not Available |
Full Name | Christine Blalock Robertson |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 22792 Centre Dr, Lake Forest, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356531289 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LW12586 (California) | Primary |
Entity Name | Grow Healthcare Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
Mailing Address | Practice Location Address |
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Christine Blalock Robertson, LCSW 22792 Centre Dr, Suite 101, Lake Forest, CA 92630-6304 Ph: (949) 243-5333 | Christine Blalock Robertson, LCSW 22792 Centre Dr, Suite 101, Lake Forest, CA 92630-6304 Ph: (949) 243-5333 |
Kelley Escamilla, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 22994 El Toro Rd Ste 109, Lake Forest, CA 92630 Phone: 714-886-7366 | |
Ms. Debra Michel Brancato, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13 Orchard, Suite 103, Lake Forest, CA 92630 Phone: 949-837-3358 Fax: 949-837-0274 | |
Alysha Jane Aiello, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 22471 Aspan St Ste 103, Lake Forest, CA 92630 Phone: 949-458-2715 Fax: 949-458-3583 | |
Aurora Belem Hernandez Sanchez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 22978 El Toro Rd, Lake Forest, CA 92630 Phone: 949-317-1010 | |
Mrs. Maureen Catherine Macias, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 21865 Michigan Ln, Lake Forest, CA 92630 Phone: 949-525-1590 | |
Carolyn Anna Mcclung, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 22942 El Toro Rd, Lake Forest, CA 92630 Phone: 714-335-9641 | |
Elle Lee, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 25422 Trabuco Rd # 105-650, Lake Forest, CA 92630 Phone: 949-441-2273 |