Mr Blake Jason Zimmet, LCSW | |
8318 University Ave, Suite A, La Mesa, CA 91942-9365 | |
(858) 707-5959 | |
Not Available |
Full Name | Mr Blake Jason Zimmet |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 8318 University Ave, La Mesa, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972739738 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCS27140 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Mr Blake Jason Zimmet, LCSW 8318 University Ave, Suite A, La Mesa, CA 91942-9365 Ph: (858) 707-5959 | Mr Blake Jason Zimmet, LCSW 8318 University Ave, Suite A, La Mesa, CA 91942-9365 Ph: (858) 707-5959 |
Noemi Ana Mitzel, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4540 Maple Ave Unit 243, La Mesa, CA 91941 Phone: 619-417-9936 | |
Dr. William Morris Coombs Iii, DSW, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5520 Wellesley St Ste 100, La Mesa, CA 91942 Phone: 619-860-8447 | |
Ms. Margaret Bouher, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 8318 University Ave, Suite A3, La Mesa, CA 91941 Phone: 619-462-5029 Fax: 619-582-9955 | |
Lori Annette Alford, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-740-4806 | |
Mrs. Martha Webb, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4700 Spring St, Suite 220, La Mesa, CA 91941 Phone: 619-667-3380 Fax: 619-528-4625 | |
Noor Doski, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8600 La Mesa Blvd Ste B, La Mesa, CA 91942 Phone: 619-733-6414 | |
Mr. Eric Michael Worsham, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4990 Williams Ave, La Mesa, CA 91941 Phone: 619-668-4200 |