Kim Prodger, LCSW | |
4010 Watson Plaza Dr, Suite 285, Lakewood, CA 90712-4037 | |
(562) 497-1505 | |
(562) 497-1881 |
Full Name | Kim Prodger |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 4010 Watson Plaza Dr, Lakewood, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114066404 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCS 12046 (California) | Primary |
Entity Name | Mark David Levine Md Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154697944 PECOS PAC ID: 0143478305 Enrollment ID: O20120912000548 |
Mailing Address | Practice Location Address |
---|---|
Kim Prodger, LCSW 4010 Watson Plaza Dr, Suite 285, Lakewood, CA 90712-4037 Ph: (562) 497-1505 | Kim Prodger, LCSW 4010 Watson Plaza Dr, Suite 285, Lakewood, CA 90712-4037 Ph: (562) 497-1505 |
Samantha Rojanasupya, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12350 Del Amo Blvd, Lakewood, CA 90715 Phone: 805-863-7193 | |
Mr. Sam Weiss, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6147 Ibbetson Ave, Lakewood, CA 90713 Phone: 949-478-5062 | |
Joanna Amenero, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5150 Candlewood St Ste 18c, Lakewood, CA 90712 Phone: 323-528-4846 Fax: 562-777-7510 | |
Ms. Denise S. Matsumoto, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4060 Watson Plaza Drive, Lakewood, CA 90712 Phone: 310-650-6178 | |
Cameon Rae Morgan, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4060 Watson Plaza Dr, Lakewood, CA 90712 Phone: 714-200-3372 | |
Mrs. Jeanisha Turner, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5150 Candlewood St Ste 14b, Lakewood, CA 90712 Phone: 650-278-6210 |