Jessica Lizeth Alonzo, | |
13447 2nd St, Yucaipa, CA 92399-5337 | |
(909) 654-0248 | |
Not Available |
Full Name | Jessica Lizeth Alonzo |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 13447 2nd St, Yucaipa, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366272718 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 124555 (California) | Primary |
Entity Name | Mood Clinical, P. C. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922675644 PECOS PAC ID: 4981080769 Enrollment ID: O20220930002640 |
Mailing Address | Practice Location Address |
---|---|
Jessica Lizeth Alonzo, 13447 2nd St, Yucaipa, CA 92399-5337 Ph: (909) 654-0248 | Jessica Lizeth Alonzo, 13447 2nd St, Yucaipa, CA 92399-5337 Ph: (909) 654-0248 |
Alice Bass, LCSW, PPS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13340 California St Ste F, Yucaipa, CA 92399 Phone: 909-327-6836 Fax: 909-316-4443 | |
Carrie Eskay, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 12202 1st St, Yucaipa, CA 92399 Phone: 909-556-5842 | |
Nicole Sorrent, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 35595 Rancho Rd, Yucaipa, CA 92399 Phone: 843-592-1054 | |
Zulema Moore, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 34072 Lily Rd, Yucaipa, CA 92399 Phone: 909-583-4618 | |
Ms. Nicole R Hughes-burchmore, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12644 Columbia Ave, Yucaipa, CA 92399 Phone: 909-446-1679 | |
Mr. Grant Kono, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 35249 Yucaipa Blvd Ste B, Yucaipa, CA 92399 Phone: 909-266-1050 Fax: 909-266-1595 | |
Laurie Diane Roach, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 34324 Yucaipa Blvd Ste B-d, Yucaipa, CA 92399 Phone: 909-790-1300 |