Mary Catherine Proffitt-allison, LCSW | |
101 E Redlands Blvd, Suite 277, Redlands, CA 92373-4775 | |
(909) 335-3026 | |
(909) 335-3167 |
Full Name | Mary Catherine Proffitt-allison |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 101 E Redlands Blvd, Redlands, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780763797 | NPI | - | NPPES |
21033 | Other | CA | L.C.S.W |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 21033 (California) | Primary |
Entity Name | Blue Moon Senior Counseling Of California Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447678990 PECOS PAC ID: 9335360981 Enrollment ID: O20141023000497 |
Mailing Address | Practice Location Address |
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Mary Catherine Proffitt-allison, LCSW 101 E Redlands Blvd, Suite 277, Redlands, CA 92373-4775 Ph: (909) 335-3026 | Mary Catherine Proffitt-allison, LCSW 101 E Redlands Blvd, Suite 277, Redlands, CA 92373-4775 Ph: (909) 335-3026 |
Lisa Tolliver Williams, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Po Box 7827, Redlands, CA 92375 Phone: 909-327-1157 | |
Hannah Capps, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 26001 Redlands Blvd, Redlands, CA 92373 Phone: 909-894-7084 | |
Jessica Rachel Lynn Mcelroy, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1340 Stillman Ave, Apartment 28, Redlands, CA 92374 Phone: 951-454-5427 | |
Mrs. Kiana Kalaghichian, LCSW67830 Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 108 Orange St Ste 8, Redlands, CA 92373 Phone: 951-288-9086 Fax: 909-363-8020 | |
Denette Wilson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 255 Terracina Blvd, Suite 204, Redlands, CA 92373 Phone: 909-798-1763 | |
Ms. Loretta Coakes, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1809 W Redlands Blvd, Redlands, CA 92373 Phone: 909-335-3026 | |
Wendy Ingram, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 308 W State St, Redlands, CA 92373 Phone: 909-566-9669 |