Mrs Sandy Annette Idle, | |
650 N State St, Hemet, CA 92543-2960 | |
(951) 791-3330 | |
Not Available |
Full Name | Mrs Sandy Annette Idle |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 650 N State St, Hemet, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124219068 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 83891 (California) | Primary |
Entity Name | County Of Riverside |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023122967 PECOS PAC ID: 6507754488 Enrollment ID: O20040310001107 |
Mailing Address | Practice Location Address |
---|---|
Mrs Sandy Annette Idle, 4929 Vailwood Dr, Hemet, CA 92544-7819 Ph: (951) 232-9688 | Mrs Sandy Annette Idle, 650 N State St, Hemet, CA 92543-2960 Ph: (951) 791-3330 |
Mayra Melgoza, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1300 W Florida Ave Ste B, Hemet, CA 92543 Phone: 951-658-7122 | |
Tanyya Hood, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 950 N State St, Hemet, CA 92543 Phone: 951-683-6596 | |
Ms. Renee Colette O'brien, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 39990 Faure Rd, Hemet, CA 92544 Phone: 951-708-4019 Fax: 951-767-9820 | |
Mr. Israel Valdez Hernandez, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1791 W Acacia Ave, Hemet, CA 92545 Phone: 951-765-5100 | |
Lori Renee Mccallum Bailey, MHA, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 42902 Berkley Ave, Hemet, CA 92544 Phone: 619-723-6205 | |
Pamela Rene' Moore-jones, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1600 E Florida Ave Ste 209, Hemet, CA 92544 Phone: 951-249-4500 Fax: 951-658-1253 |