Michael Montecillo, LCSW | |
1045 W Redondo Beach Blvd, Gardena, CA 90247-4128 | |
(233) 241-6730 | |
Not Available |
Full Name | Michael Montecillo |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 1045 W Redondo Beach Blvd, Gardena, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174779425 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 29082 (California) | Primary |
Entity Name | Los Angeles County Department Of Mental Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083633929 PECOS PAC ID: 7416869896 Enrollment ID: O20031104000319 |
Entity Name | Harbor Community Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467490425 PECOS PAC ID: 8022166826 Enrollment ID: O20090505000470 |
Mailing Address | Practice Location Address |
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Michael Montecillo, LCSW 2311 W El Segundo Blvd, Hawthorne, CA 90250-3315 Ph: (323) 241-6825 | Michael Montecillo, LCSW 1045 W Redondo Beach Blvd, Gardena, CA 90247-4128 Ph: (233) 241-6730 |
Valencia E Bernard, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1411 W 190th St Ste 300, Gardena, CA 90248 Phone: 323-249-2950 | |
Ms. Tiffany Flood, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 108 W Victoria St, Gardena, CA 90248 Phone: 310-625-9472 | |
Lindsay Weglarz, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1145 W Redondo Beach Blvd, Gardena, CA 90247 Phone: 310-532-4200 Fax: 310-512-6144 | |
Sherry Wang, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14112 S Kingsley Dr, Gardena, CA 90249 Phone: 310-217-7300 | |
Ms. Janae Griffin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1045 W Redondo Beach Blvd Ste 300, Gardena, CA 90247 Phone: 323-241-6730 | |
Margarita Martinez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 130 W Victoria St, Gardena, CA 90248 Phone: 310-715-2020 | |
Mr. John Williamson Beatty, Iii, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 130 W Victoria St, Gardena, CA 90248 Phone: 310-715-2020 |