Mr Michael Lee Simmons, LCSW, CDS | |
17632 Irvine Blvd, Ste 250, Tustin, CA 92780-3148 | |
(714) 745-7198 | |
(714) 508-7301 |
Full Name | Mr Michael Lee Simmons |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 17632 Irvine Blvd, Tustin, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740481423 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCS23672 (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 |
Mailing Address | Practice Location Address |
---|---|
Mr Michael Lee Simmons, LCSW, CDS 10630 Lakeside Dr N, Unit J, Garden Grove, CA 92840-5078 Ph: (562) 252-5051 | Mr Michael Lee Simmons, LCSW, CDS 17632 Irvine Blvd, Ste 250, Tustin, CA 92780-3148 Ph: (714) 745-7198 |
Kimberly Torres, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Hope Dr, Tustin, CA 92782 Phone: 714-247-0300 Fax: 714-259-1598 | |
Eva Marie Verdult, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12575 Newport Ave Ste A, Tustin, CA 92780 Phone: 714-368-0350 Fax: 714-368-0344 | |
Mr. Glenn George Stevenson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 17662 Irvine Blvd, Ste 7, Tustin, CA 92780 Phone: 714-468-9963 Fax: 714-636-9696 | |
Ms. Linda Mcfadden, LCSW MFCC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17411 Irvine Blvd, Suite K, Tustin, CA 92780 Phone: 714-832-5775 | |
Rafael Lopez Martinez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 18302 Irvine Blvd, Ste 300, Tustin, CA 92780 Phone: 714-957-1004 | |
Karina Arredondo, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Hope Dr, Tustin, CA 92782 Phone: 714-247-0300 | |
Shawnee Lee Alexander, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 17542 17th St Ste 300, Tustin, CA 92780 Phone: 714-734-4500 |