Craig Nishioka, LCSW | |
373 Termino Ave Apt 5, Long Beach, CA 90814-3943 | |
(562) 208-0082 | |
Not Available |
Full Name | Craig Nishioka |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 373 Termino Ave Apt 5, Long Beach, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932808862 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 29607 (California) | Primary |
Entity Name | Talkspace Provider Network Ca Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003506866 PECOS PAC ID: 7719339548 Enrollment ID: O20240117003713 |
Mailing Address | Practice Location Address |
---|---|
Craig Nishioka, LCSW 373 Termino Ave Apt 5, Long Beach, CA 90814-3943 Ph: (562) 208-0082 | Craig Nishioka, LCSW 373 Termino Ave Apt 5, Long Beach, CA 90814-3943 Ph: (562) 208-0082 |
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