Mr Javier Martin Panameno Campos, LCSW | |
255 Terracina Blvd, Suite 204, Redlands, CA 92373-4870 | |
(909) 798-1763 | |
(909) 307-6405 |
Full Name | Mr Javier Martin Panameno Campos |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 255 Terracina Blvd, Redlands, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255688032 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCS 26127 (California) | Primary |
Entity Name | Department Of State Hospitals |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124078704 PECOS PAC ID: 9638174238 Enrollment ID: O20081031000305 |
Entity Name | Inlandpsych Redlands Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053575738 PECOS PAC ID: 0749337467 Enrollment ID: O20090416000117 |
Mailing Address | Practice Location Address |
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Mr Javier Martin Panameno Campos, LCSW 16025 Peach Tree Ln, Fontana, CA 92337-1010 Ph: (909) 904-0667 | Mr Javier Martin Panameno Campos, LCSW 255 Terracina Blvd, Suite 204, Redlands, CA 92373-4870 Ph: (909) 798-1763 |
Lisa Tolliver Williams, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Po Box 7827, Redlands, CA 92375 Phone: 909-327-1157 | |
Hannah Capps, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 26001 Redlands Blvd, Redlands, CA 92373 Phone: 909-894-7084 | |
Jessica Rachel Lynn Mcelroy, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1340 Stillman Ave, Apartment 28, Redlands, CA 92374 Phone: 951-454-5427 | |
Mrs. Kiana Kalaghichian, LCSW67830 Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 108 Orange St Ste 8, Redlands, CA 92373 Phone: 951-288-9086 Fax: 909-363-8020 | |
Denette Wilson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 255 Terracina Blvd, Suite 204, Redlands, CA 92373 Phone: 909-798-1763 | |
Ms. Loretta Coakes, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1809 W Redlands Blvd, Redlands, CA 92373 Phone: 909-335-3026 | |
Wendy Ingram, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 308 W State St, Redlands, CA 92373 Phone: 909-566-9669 |