Mrs Celeste Kathleen Lane, LCSW | |
790 E Bonita Ave, Pomona, CA 91767-1906 | |
(909) 625-7207 | |
Not Available |
Full Name | Mrs Celeste Kathleen Lane |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 790 E Bonita Ave, Pomona, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881978328 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW68508 (California) | Primary |
Entity Name | Pacific Clinics |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255496105 PECOS PAC ID: 4082008420 Enrollment ID: O20220228001926 |
Mailing Address | Practice Location Address |
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Mrs Celeste Kathleen Lane, LCSW 790 E Bonita Ave, Pomona, CA 91767-1906 Ph: (909) 625-7207 | Mrs Celeste Kathleen Lane, LCSW 790 E Bonita Ave, Pomona, CA 91767-1906 Ph: (909) 625-7207 |
Jungmi Lee, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2008 N Garey Ave, Pomona, CA 91767 Phone: 909-623-6131 | |
Mrs. Anakari Corona, LCSW 108934 Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2063 Rancho Valley Drive, Unit 320 #129, Pomona, CA 91766 Phone: 909-300-5148 | |
Rosalia Jaqueline Armas I, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1900 Royalty Dr, Pomona, CA 91767 Phone: 909-766-7319 | |
Lorena Zazueta, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2008 N Garey Ave, Pomona, CA 91767 Phone: 909-623-6131 Fax: 909-865-9281 | |
Ms. Shantell Harris, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1568 Mcleod Pl, Pomona, CA 91768 Phone: 909-620-7543 | |
Elysa Thangchaipinyokul, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 47 Oak Cliff Dr, Pomona, CA 91766 Phone: 909-979-7184 | |
Diana Aguayo, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1555 S Garey Ave, Pomona, CA 91766 Phone: 909-620-8088 |