Michelle Ashley Mata, ASW is a
Counselor - Mental Health based in Long Beach, California. Michelle Ashley Mata is licensed to practice in California (license number ASW86073) and her current practice location is
5190 Atlantic Ave, Long Beach, California. She can be reached at her office (for appointments etc.) via phone at
(562) 428-4111.
NPI number for Michelle Ashley Mata is 1013340777 and her current mailing address is 5190 Atlantic Ave, Long Beach, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013340777.
Healthcare Provider's Profile
Full Name | Michelle Ashley Mata |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 5190 Atlantic Ave, Long Beach, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1013340777
- Provider Enumeration Date: 08/16/2013
- Last Update Date: 06/03/2022
Medical Identifiers
Medical identifiers for Michelle Ashley Mata such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013340777 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | ASW86073 (California) | Secondary |
101YM0800X | Counselor - Mental Health | ASW86073 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michelle Ashley Mata is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Michelle Ashley Mata, ASW 5190 Atlantic Ave, Long Beach, CA 90805-6510 Ph: (562) 428-4111 | Michelle Ashley Mata, ASW 5190 Atlantic Ave, Long Beach, CA 90805-6510 Ph: (562) 428-4111 |
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