Mr Alexander Spencer Edwards, MSW | |
900 Quebec Ave, Corcoran, CA 93212-9715 | |
(805) 796-1894 | |
(818) 800-3643 |
Full Name | Mr Alexander Spencer Edwards |
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Gender | Male |
Speciality | Social Worker |
Location | 900 Quebec Ave, Corcoran, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629109269 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW28987 (California) | Secondary |
104100000X | Social Worker | LCSW28987 (California) | Primary |
Entity Name | Tri-state Community Healthcare Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922356369 PECOS PAC ID: 5597991968 Enrollment ID: O20131114000307 |
Entity Name | Pacific Blue Psychological Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124678719 PECOS PAC ID: 3678908357 Enrollment ID: O20200129000198 |
Mailing Address | Practice Location Address |
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Mr Alexander Spencer Edwards, MSW Po Box 691, Corcoran, CA 93212-0691 Ph: (805) 796-1894 | Mr Alexander Spencer Edwards, MSW 900 Quebec Ave, Corcoran, CA 93212-9715 Ph: (805) 796-1894 |
Ms. Liza V Maravilla, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 900 Quebec Avenue, Corcoran, CA 93212 Phone: 559-992-7100 Fax: 559-992-7104 | |
Carina Cristal Angel, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4001 King Ave, Corcoran, CA 93212 Phone: 559-362-1624 | |
Tisa Rae Garrison, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1425 1/2 Letts Ave, Corcoran, CA 93212 Phone: 559-762-7044 | |
Ellen Stoneburg, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 900 Quebec Ave, Corcoran, CA 93212 Phone: 559-992-7100 Fax: 559-992-7172 | |
Reba Kimber-nelson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 900 Quebec Ave, Corcoran, CA 93212 Phone: 661-817-2896 | |
Mr. Anthony Valdez Casillas, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4001 King Ave, Corcoran, CA 93212 Phone: 559-992-8800 Fax: 559-992-7341 | |
Sarah Yang, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 900 Quebec Ave, Corcoran, CA 93212 Phone: 559-202-3997 |