Mr Vincent Depaul Brock, LCSW | |
10355 Slusher Dr, Santa Fe Springs, CA 90670-7353 | |
(562) 903-7392 | |
(562) 944-2316 |
Full Name | Mr Vincent Depaul Brock |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 10355 Slusher Dr, Santa Fe Springs, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629152376 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 12370 (California) | Secondary |
1041C0700X | Social Worker - Clinical | LCS24329 (California) | Primary |
Entity Name | Los Angeles County Department Of Mental Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083633929 PECOS PAC ID: 7416869896 Enrollment ID: O20031104000319 |
Entity Name | Southern California Permanente Medical Group |
---|---|
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 Vincent Depaul Brock, LCSW 10355 Slusher Dr, Santa Fe Springs, CA 90670-7353 Ph: (562) 903-7392 | Mr Vincent Depaul Brock, LCSW 10355 Slusher Dr, Santa Fe Springs, CA 90670-7353 Ph: (562) 903-7392 |
Saskia Gonzalez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10355 Slusher Dr, Santa Fe Springs, CA 90670 Phone: 562-903-5309 | |
Miriam Jeannette Ruiz, LCSW, CADC II Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12110 Slauson Ave Ste 16, Santa Fe Springs, CA 90670 Phone: 323-524-9347 | |
Ms. Phyllis Rae Noriega, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10355 Slusher Dr, Santa Fe Springs, CA 90670 Phone: 562-903-5269 Fax: 562-944-2316 | |
James William Clark, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11015 Bloomfield Ave, Santa Fe Springs, CA 90670 Phone: 562-906-2676 | |
Latrica Anne Cooper, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10210 Orr And Day Rd, Santa Fe Springs, CA 90670 Phone: 562-348-0083 | |
Meagan Bryanna Morales, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11741 Telegraph Rd Ste A, Santa Fe Springs, CA 90670 Phone: 562-801-0318 | |
Leila Aguirre, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11015 Bloomfield Ave, Santa Fe Springs, CA 90670 Phone: 562-906-2686 |