Kristen Dunagan, LCSW | |
Po Box 11271, Newport Beach, CA 92658-5024 | |
(714) 229-0125 | |
Not Available |
Full Name | Kristen Dunagan |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | Po Box 11271, Newport Beach, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477958734 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | ASW63127 (California) | Secondary |
1041C0700X | Social Worker - Clinical | LCSW80645 (California) | Primary |
Entity Name | Providence Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Mailing Address | Practice Location Address |
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Kristen Dunagan, LCSW Po Box 11271, Newport Beach, CA 92658-5024 Ph: (949) 229-0125 | Kristen Dunagan, LCSW Po Box 11271, Newport Beach, CA 92658-5024 Ph: (714) 229-0125 |
Karen A. Busch, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1151 Dove St Ste 285, Newport Beach, CA 92660 Phone: 949-752-8550 Fax: 949-640-6643 | |
Renee Michelle Ward, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3400 Irvine Ave Ste 218, Newport Beach, CA 92660 Phone: 949-373-6499 | |
Carly Elizabeth Stern, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 620 Newport Center Dr Ste 1450, Newport Beach, CA 92660 Phone: 714-588-0911 | |
Ms. Lindsey Beth Krogh, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2043 Westcliff Dr., Suite 200, Newport Beach, CA 92660 Phone: 657-642-5442 | |
Andrea Navarro Owen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1000 Quail St Ste 120, Newport Beach, CA 92660 Phone: 714-797-5127 | |
Emily Mayot, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1400 Quail St Ste 180, Newport Beach, CA 92660 Phone: 949-561-2438 | |
Ms. Laraine Alison Tanzer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 408 Westminster Avenue, #10, Newport Beach, CA 92663 Phone: 949-903-1823 Fax: 949-720-9808 |