Darya Potyagova, | |
11843 Gilmore St # 3, North Hollywood, CA 91606-2853 | |
(323) 217-5473 | |
Not Available |
Full Name | Darya Potyagova |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 11843 Gilmore St # 3, North Hollywood, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770052698 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | Socal Therapy Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871956656 PECOS PAC ID: 6507123148 Enrollment ID: O20171206002341 |
Mailing Address | Practice Location Address |
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Darya Potyagova, 11843 Gilmore St # 3, North Hollywood, CA 91606-2853 Ph: () - | Darya Potyagova, 11843 Gilmore St # 3, North Hollywood, CA 91606-2853 Ph: (323) 217-5473 |
Katherine Lair, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5062 Lankershim Blvd # 1020, North Hollywood, CA 91601 Phone: 909-713-9023 | |
Ms. Cindy Toledo, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12157 Victory Blvd, North Hollywood, CA 91606 Phone: 818-755-8000 | |
Kristen Estrella, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6400 Laurel Canyon Blvd Ste 500, North Hollywood, CA 91606 Phone: 818-901-6376 | |
Mrs. Karen R Hess, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12821 Victory Blvd, North Hollywood, CA 91606 Phone: 818-769-0560 Fax: 818-766-8523 | |
Ingrid Rey Balbuena, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6736 Laurel Canyon Blvd, North Hollywood, CA 91606 Phone: 818-824-9853 | |
Jeanett Del Carmen Carrillo, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 12157 Victory Blvd, North Hollywood, CA 91606 Phone: 818-755-8000 | |
Allison Ivon Lopez, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6801 Coldwater Canyon Ave, North Hollywood, CA 91605 Phone: 818-763-8836 |