Katharina Krison, | |
1051 Picador Blvd, San Diego, CA 92154-3548 | |
(928) 978-2035 | |
Not Available |
Full Name | Katharina Krison |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1051 Picador Blvd, 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 |
---|---|---|---|
1053752865 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 19863 (Arizona) | Secondary |
1041C0700X | Social Worker - Clinical | 120406 (California) | Primary |
Entity Name | Total Life Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053909267 PECOS PAC ID: 8123433034 Enrollment ID: O20221103001969 |
Entity Name | Total Life Ca Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689389603 PECOS PAC ID: 3173989332 Enrollment ID: O20230524001729 |
Mailing Address | Practice Location Address |
---|---|
Katharina Krison, 3031 Plaza Lorenzo, Bonita, CA 91902-1606 Ph: (928) 978-2035 | Katharina Krison, 1051 Picador Blvd, San Diego, CA 92154-3548 Ph: (928) 978-2035 |
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 |