Mr Lonnie Banks Jr, LCSW | |
2055 Kellogg Ave, Corona, CA 92879-3111 | |
(951) 898-7010 | |
Not Available |
Full Name | Mr Lonnie Banks Jr |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 2055 Kellogg Ave, Corona, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790982130 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCS17347 (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: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
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Mr Lonnie Banks Jr, LCSW 6376 Lavender St, Corona, CA 92880-7204 Ph: (951) 276-6101 | Mr Lonnie Banks Jr, LCSW 2055 Kellogg Ave, Corona, CA 92879-3111 Ph: (951) 898-7010 |
Mr. William Shapiro, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16756 Chino Corona Rd, Corona, CA 92880 Phone: 909-597-1771 | |
Johnnie Aldridge Ii, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2275 S Main St Ste 201, Corona, CA 92882 Phone: 951-279-3222 Fax: 951-279-5222 | |
Mrs. Jessica Lee Shears, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 22846 Hunters Ct, Corona, CA 92883 Phone: 626-826-6574 | |
Ana Fernandez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2190 Eveningwind Dr Apt 427, Corona, CA 92879 Phone: 951-415-1961 | |
Michele L. Cyr, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1451 Rimpau Ave, Corona, CA 92879 Phone: 951-970-0372 Fax: 951-689-6288 | |
Mrs. Stephanie Winters, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2055 Kellogg Ave, Corona, CA 92879 Phone: 951-898-7010 | |
Ms. Amrita Rai, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1411 Rimpau Ave, Suite 202, Corona, CA 92879 Phone: 909-910-4294 |