Darren Kong, | |
1150 N Indian Canyon Dr, Palm Springs, CA 92262-4872 | |
(760) 323-6511 | |
Not Available |
Full Name | Darren Kong |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 1150 N Indian Canyon Dr, Palm Springs, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447685078 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 88493 (California) | Primary |
Entity Name | Blue Moon Senior Counseling Of California Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447678990 PECOS PAC ID: 9335360981 Enrollment ID: O20141023000497 |
Mailing Address | Practice Location Address |
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Darren Kong, 1150 N Indian Canyon Dr, Palm Springs, CA 92262-4872 Ph: (760) 323-6511 | Darren Kong, 1150 N Indian Canyon Dr, Palm Springs, CA 92262-4872 Ph: (760) 323-6511 |
Ms. Maureen Harris Forman, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 490 S Farrell Dr, Suite C 208, Palm Springs, CA 92262 Phone: 760-325-4088 Fax: 760-778-3781 | |
Montgomery Ostrander, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 495 E Twin Palms Dr, #5, Palm Springs, CA 92264 Phone: 323-420-7840 | |
Deserry Salgado, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2500 N Palm Canyon Dr Ste A4, Palm Springs, CA 92262 Phone: 760-424-5602 | |
John Scott Hawkins, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 255 N El Cielo Rd Ste C300, Palm Springs, CA 92262 Phone: 760-674-3344 | |
Deborah Jane Townson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 275 N El Cielo Rd Ste C2, Palm Springs, CA 92262 Phone: 760-328-4499 Fax: 760-328-1050 | |
Elyse Prack, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 275 N El Cielo Rd, Suite D408, Palm Springs, CA 92262 Phone: 760-969-5262 Fax: 760-969-5946 | |
Mr. Alan Leon Lawrence, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 160 N Luring Dr Ste J, Palm Springs, CA 92262 Phone: 760-250-5982 |