Jill Gravois, LCSW | |
4902 Irvine Center Dr Ste 203, Irvine, CA 92604-3335 | |
(562) 708-1068 | |
Not Available |
Full Name | Jill Gravois |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 4902 Irvine Center Dr Ste 203, Irvine, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053540575 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW81112 (California) | Primary |
Entity Name | Thriveworks Clinical - California Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801481395 PECOS PAC ID: 1759785645 Enrollment ID: O20220421000008 |
Mailing Address | Practice Location Address |
---|---|
Jill Gravois, LCSW 4902 Irvine Center Dr Ste 203, Irvine, CA 92604-3335 Ph: (562) 708-1068 | Jill Gravois, LCSW 4902 Irvine Center Dr Ste 203, Irvine, CA 92604-3335 Ph: (562) 708-1068 |
Jessica Elizabeth Bychawski, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 501 Student Health, Irvine, CA 92697 Phone: 949-824-7747 | |
Corinne Humphries, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15615 Alton Pkwy Ste 230, Irvine, CA 92618 Phone: 949-528-6300 Fax: 855-779-3627 | |
Megan Soun Thomsen, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2131 Watermarke Pl, Irvine, CA 92612 Phone: 626-209-9235 | |
Mrs. Cynthia Peikoff, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4010 Barranca Pkwy, Suite 252, Irvine, CA 92604 Phone: 949-733-1440 Fax: 949-733-1438 | |
Cynthia Lopez Herrera, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4255 Campus Dr, Irvine, CA 92612 Phone: 949-502-0736 | |
Ms. Audrey Dorothy Kapelinski, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 19722 Macarthur Blvd, Irvine, CA 92612 Phone: 949-824-1819 Fax: 949-824-1811 |