Constance M Whelan, LCSW | |
3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | |
(909) 425-7000 | |
Not Available |
Full Name | Constance M Whelan |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 3102 E. Highland Avenue, Patton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184173106 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 26367 (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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Constance M Whelan, LCSW 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 Ph: (909) 425-7000 | Constance M Whelan, LCSW 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 Ph: (909) 425-7000 |
Debra F Johnson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 Phone: 909-425-7000 | |
Jose J Quiroz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 Phone: 909-425-7000 | |
Mrs. Donna Mann, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 Phone: 909-425-7000 Fax: 909-307-6405 | |
Grace D Dobey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 Phone: 909-425-7000 | |
Mario Ann Gonzalez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 Phone: 909-425-7000 | |
Veronica Dolores Kaufman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 Phone: 909-425-7000 |