Guadalupe Liset Gallegos, MSW in Fountain Valley, CA

Guadalupe Liset Gallegos, MSW is a medicare enrolled "Social Worker - Clinical" provider in Fountain Valley, California. Her current practice location is 18350 Mount Langley St Ste 220, Fountain Valley, California. You can reach out to her office (for appointments etc.) via phone at (714) 378-2620.

Guadalupe Liset Gallegos is licensed to practice in California (license number 77257) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1073892956.

Contact Information

	Guadalupe Liset Gallegos, MSW
	18350 Mount Langley St Ste 220, Fountain Valley, CA 92708-6912
	(714) 378-2620
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Guadalupe Liset Gallegos
Gender	Female
Speciality	Social Worker - Clinical
Location	18350 Mount Langley St Ste 220, Fountain Valley, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073892956
Provider Enumeration Date: 08/10/2011
Last Update Date: 11/19/2019

Medicare PECOS Information:

PECOS PAC ID: 7517319825
Enrollment ID: I20240122003799

Medical Identifiers

Medical identifiers for Guadalupe Liset Gallegos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073892956	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	77257 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Guadalupe Liset Gallegos allows following entities to bill medicare on her behalf.

Entity Name	Vanessa Villasenor Licensed Marriage And Family Therapist Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083198782 PECOS PAC ID: 4486067618 Enrollment ID: O20231025002476

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Guadalupe Liset Gallegos is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Guadalupe Liset Gallegos, MSW 18350 Mount Langley St Ste 220, Fountain Valley, CA 92708-6912 Ph: (714) 378-2620	Guadalupe Liset Gallegos, MSW 18350 Mount Langley St Ste 220, Fountain Valley, CA 92708-6912 Ph: (714) 378-2620

Reviews and Comments

Social Worker in Fountain Valley, CA

Marisa Jill Cherry, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16027 Brookhurst St # I-2006, Fountain Valley, CA 92708 Phone: 949-436-5023
Miss Valerie Ann Riddle, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 18785 Brookhurst St, Fountain Valley, CA 92708 Phone: 714-975-1719
Jeanette Razo-gonzalez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17870 Newhope St Ste 104-327, Fountain Valley, CA 92708 Phone: 626-268-3226
Mina Pham, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17150 Newhope St Ste 205, Fountain Valley, CA 92708 Phone: 949-431-6374
Miss Gemma Lara De Blas Williams, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17350 Mount Herrmann St, Suite A, Fountain Valley, CA 92708 Phone: 714-444-3463 Fax: 714-444-1768
Karla Jeannette Edwards, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 10101 Slater Ave Ste 241, Fountain Valley, CA 92708 Phone: 714-378-2620 Fax: 714-378-2631

Guadalupe Liset Gallegos, MSW - Medicare Clinical Social Worker in Fountain Valley, CA