Mr Landon Michael Martin, LCSW | |
9990 County Farm Rd, Riverside, CA 92503-3542 | |
(951) 358-4834 | |
Not Available |
Full Name | Mr Landon Michael Martin |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 9990 County Farm Rd, Riverside, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750517652 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 24786 (California) | Primary |
Entity Name | Health Service Alliance |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801307368 PECOS PAC ID: 4587642467 Enrollment ID: O20040708000369 |
Entity Name | Foothills Psychological Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336121888 PECOS PAC ID: 9436157534 Enrollment ID: O20100318000835 |
Entity Name | Foothills Psychological Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336121888 PECOS PAC ID: 9436157534 Enrollment ID: O20100414000905 |
Mailing Address | Practice Location Address |
---|---|
Mr Landon Michael Martin, LCSW 12575 12th St, Yucaipa, CA 92399-1938 Ph: (951) 992-3014 | Mr Landon Michael Martin, LCSW 9990 County Farm Rd, Riverside, CA 92503-3542 Ph: (951) 358-4834 |
Mrs. Jacqueline S Ashley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7140 Indiana Ave, Riverside, CA 92504 Phone: 951-358-6000 | |
Cristina Flores Hubb, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5870 Arlington Ave, Riverside, CA 92504 Phone: 951-683-6596 | |
Jessica Elizabeth Wilinski, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2085 Rustin Ave Bldg 4, Riverside, CA 92507 Phone: 951-955-8000 | |
Lisa Stokes, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4996 La Sierra Ave, Riverside, CA 92505 Phone: 951-525-3752 | |
Deren Leland Mikels, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5015 Canyon Crest Dr, Suite 102, Riverside, CA 92507 Phone: 951-529-3692 Fax: 951-346-3780 | |
Mr. Christopher John Hanlon, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2085 Rustin Ave # 4, Riverside, CA 92507 Phone: 951-955-8000 | |
Mrs. Kristin Jean Miller, M.S.W Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2085 Rustin Ave, Riverside, CA 92507 Phone: 951-715-5040 Fax: 951-784-4976 |