| Melissa Servin Fuentes, LCSW | |
|
1723 Rue De Valle, San Marcos, CA 92078-3736 | |
| (760) 492-1006 | |
| Not Available |
| Full Name | Melissa Servin Fuentes |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1723 Rue De Valle, 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 |
|---|---|---|---|
| 1396437042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 114110 (California) | Primary |
| Entity Name | Grow Healthcare Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Servin Fuentes, LCSW Po Box 2876, San Marcos, CA 92079-2876 Ph: (760) 491-2003 | Melissa Servin Fuentes, LCSW 1723 Rue De Valle, San Marcos, CA 92078-3736 Ph: (760) 492-1006 |
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 |