Kelly Rivadeneyra, MSW, LCSW | |
150 Valpreda Rd, San Marcos, CA 92069-2973 | |
(760) 736-6780 | |
Not Available |
Full Name | Kelly Rivadeneyra |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 150 Valpreda Rd, San Marcos, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790242469 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 44SC05971300 (New Jersey) | Secondary |
1041C0700X | Social Worker - Clinical | 122911 (California) | Primary |
Entity Name | Newark Community Health Centers Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740345693 PECOS PAC ID: 2163334665 Enrollment ID: O20090729000539 |
Entity Name | Nutley Family Service Bureau, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760532345 PECOS PAC ID: 4880866482 Enrollment ID: O20111004000018 |
Mailing Address | Practice Location Address |
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Kelly Rivadeneyra, MSW, LCSW 150 Valpreda Rd, San Marcos, CA 92069-2973 Ph: (760) 736-6767 | Kelly Rivadeneyra, MSW, LCSW 150 Valpreda Rd, San Marcos, CA 92069-2973 Ph: (760) 736-6780 |
Kimberly Serna, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1529 Grand Ave Ste A, San Marcos, CA 92078 Phone: 760-798-0299 | |
Clarissa Renee' Vincent, ASW #107903 Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 334 Via Vera Cruz, San Marcos, CA 92078 Phone: 760-509-3424 | |
Blanca Arias, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 150 Valpreda Rd, San Marcos, CA 92069 Phone: 760-736-6700 Fax: 760-736-6782 | |
Mrs. Megan Aguirre, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 334 Via Vera Cruz, San Marcos, CA 92078 Phone: 216-810-6081 | |
Miss Melissa Ivonne Barsotti, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 727 W San Marcos Blvd, Suite 112, San Marcos, CA 92078 Phone: 626-893-0480 Fax: 760-736-6780 | |
Tamera Martino Fleck, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1244 San Elijo Rd N, San Marcos, CA 92078 Phone: 760-517-6257 Fax: 760-593-2699 | |
Sharon Linda Massoth, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 340 Rancheros Dr, Ste 298, San Marcos, CA 92069 Phone: 760-752-4900 Fax: 760-752-4924 |