| Michelle Stark, LCSW | |
|
41419 Pear St, Ste 1, Murrieta, CA 92562-7016 | |
| (909) 999-0153 | |
| Not Available |
| Full Name | Michelle Stark |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 41419 Pear St, Murrieta, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972990067 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 22497 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 7505 (Tennessee) | Primary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221116002565 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Stark, LCSW Po Box 285, Murrieta, CA 92564-0285 Ph: (909) 225-9872 | Michelle Stark, LCSW 41419 Pear St, Ste 1, Murrieta, CA 92562-7016 Ph: (909) 999-0153 |
Ms. Carol Farr, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 40680 California Oaks Rd, Ste 2-d, Murrieta, CA 92562 Phone: 951-304-0882 Fax: 951-304-0884 | |
Matthew Ronald Hicks, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 24885 Whitewood Rd Ste 105, Murrieta, CA 92563 Phone: 626-712-1865 | |
Rebecca Rose Clinton, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 24885 Whitewood Rd Ste 105, Murrieta, CA 92563 Phone: 951-698-8558 | |
Mrs. Alexia Padla Garcia, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 25170 Hancock Ave, Murrieta, CA 92562 Phone: 951-461-9300 | |
Mr. David Cervantes Hernandez, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 41680 Ivy St Ste D, Murrieta, CA 92562 Phone: 614-549-0329 | |
Sandra Dee Osborne, MSW, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 24275 Jefferson Ave, Murrieta, CA 92562 Phone: 909-267-4763 | |
Citlali Hernandez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 29995 Technology Dr Ste 101, Murrieta, CA 92563 Phone: 951-816-1778 |