Colleen Dawn Wong, LCSW | |
8510 Balboa Blvd, Ste 150, Northridge, CA 91325-3583 | |
(818) 654-3400 | |
(818) 654-3417 |
Full Name | Colleen Dawn Wong |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 8510 Balboa Blvd, Northridge, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992059471 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 27834 (California) | Primary |
Entity Name | California Telemedicine Associates, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073153250 PECOS PAC ID: 7517371859 Enrollment ID: O20210128001414 |
Mailing Address | Practice Location Address |
---|---|
Colleen Dawn Wong, LCSW 8510 Balboa Blvd, Ste 150, Northridge, CA 91325-3583 Ph: (818) 654-3400 | Colleen Dawn Wong, LCSW 8510 Balboa Blvd, Ste 150, Northridge, CA 91325-3583 Ph: (818) 654-3400 |
Angela Ponce, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9650 Zelzah Ave, Northridge, CA 91325 Phone: 818-993-9311 | |
Rupal Mankassarian, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9650 Zelzah Ave, Northridge, CA 91325 Phone: 818-993-9311 | |
Faith Lee Chin, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 9935 Lindley Ave, Northridge, CA 91325 Phone: 818-395-2557 | |
Melissa Arce, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9650 Zelzah Ave, Northridge, CA 91325 Phone: 818-993-9311 | |
Denice Castellon, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8550 Balboa Blvd Ste 150, Northridge, CA 91325 Phone: 818-830-0200 | |
Billoah A Greene, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9710 Zelzah Ave # B204, Northridge, CA 91325 Phone: 310-721-1430 | |
Jasmin Castillo, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9650 Zelzah Ave, Northridge, CA 91325 Phone: 818-993-9311 |