Jake Wei Hung Wong, LCSW | |
1011 Camino Del Rio S Ste 300, San Diego, CA 92108-3567 | |
(619) 287-8225 | |
(619) 393-0386 |
Full Name | Jake Wei Hung Wong |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 1011 Camino Del Rio S Ste 300, San Diego, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154896785 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | ASW90517 (California) | Secondary |
1041C0700X | Social Worker - Clinical | LCSW106350 (California) | Primary |
Entity Name | Mental Health Systems, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760431670 PECOS PAC ID: 8628019320 Enrollment ID: O20050512000474 |
Mailing Address | Practice Location Address |
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Jake Wei Hung Wong, LCSW 6244 El Cajon Blvd Ste 17, San Diego, CA 92115-3918 Ph: (619) 287-8225 | Jake Wei Hung Wong, LCSW 1011 Camino Del Rio S Ste 300, San Diego, CA 92108-3567 Ph: (619) 287-8225 |
Ms. Sonya None Starr, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4660 Palm Ave, San Diego, CA 92154 Phone: 619-662-5000 | |
Evelina Jaime, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 286 Euclid Ave, Suite 102, San Diego, CA 92114 Phone: 619-266-2111 Fax: 619-266-0496 | |
Channing Gredvig, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3420 Kenyon St, San Diego, CA 92110 Phone: 619-221-6550 Fax: 619-221-6556 | |
Mr. Javier Perez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2305 Meade Ave, 3, San Diego, CA 92116 Phone: 619-787-2534 | |
Mr. Jonathan R Boland, LCSW, BCD, MPH Clinical Social Worker Medicare: Medicare Enrolled Practice Location: Naval Consolidated Brig Miramar, 46141 Miramar Way, San Diego, CA 92126 Phone: 619-846-3381 | |
Leah Bogopulsky, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3020 Childrens Way # 5100, San Diego, CA 92123 Phone: 858-966-1700 | |
Dawnn Marie Mendoza Guray, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8775 Aero Dr Ste 132, San Diego, CA 92123 Phone: 858-609-8742 |