Miss Deanna Aghbashian, | |
850 E Foothill Blvd, Rialto, CA 92376-5230 | |
(909) 421-9233 | |
Not Available |
Full Name | Miss Deanna Aghbashian |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 850 E Foothill Blvd, Rialto, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104343144 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW92080 (California) | Primary |
101YM0800X | Counselor - Mental Health | ASW73527 (California) | Secondary |
Entity Name | Wings Of The Future Private Practice Lcsw Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144705724 PECOS PAC ID: 8729488440 Enrollment ID: O20220223000697 |
Mailing Address | Practice Location Address |
---|---|
Miss Deanna Aghbashian, 8850 Strang Ln, Alta Loma, CA 91701-1440 Ph: () - | Miss Deanna Aghbashian, 850 E Foothill Blvd, Rialto, CA 92376-5230 Ph: (909) 421-9233 |
Kelli Evelyn Ensman, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 850 East Foothill Blvd, Rialto, CA 92376 Phone: 909-421-4633 | |
Metra Jaberi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 850 E Foothill Blvd, Rialto, CA 92376 Phone: 909-454-4401 | |
Miss Regina Joanna Peacock, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5822 Olive Ave, Rialto, CA 92377 Phone: 909-831-0446 | |
Anna Teresa Mejia, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 850 E Foothill Blvd, Rialto, CA 92376 Phone: 909-921-9452 | |
Erica Decker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 850 E Foothill Blvd, Rialto, CA 92376 Phone: 909-421-9270 | |
Blessing Chinedu-obi, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 850 E Foothill Blvd, Rialto, CA 92376 Phone: 909-421-4690 Fax: 909-421-5650 |