Mrs Susan Lee Jacobs, LCSW | |
1330 W Ramsey St, Suite 100, Banning, CA 92220-4448 | |
(951) 849-1742 | |
Not Available |
Full Name | Mrs Susan Lee Jacobs |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1330 W Ramsey St, Banning, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841396447 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCS 18269 (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 |
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Mrs Susan Lee Jacobs, LCSW Po Box 1103, Moreno Valley, CA 92556-1103 Ph: (951) 924-1868 | Mrs Susan Lee Jacobs, LCSW 1330 W Ramsey St, Suite 100, Banning, CA 92220-4448 Ph: (951) 849-1742 |
Daphne Carrie Thomas, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1802 Masters Dr, Banning, CA 92220 Phone: 951-236-5042 | |
Vivian Duncan Dunipace, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3086 W Ramsey St, Banning, CA 92220 Phone: 951-922-9094 Fax: 951-922-9598 | |
Ms. Pamela Suzanne Gengo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1330 W Ramsey St Ste 100, Banning Mental Health Clinic, Banning, CA 92220 Phone: 951-849-7142 | |
Belinda Szabatura, ACSW#95276 Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 940 E Williams St Ste 102, Banning, CA 92220 Phone: 909-866-5070 | |
Gloria Bautista, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 940 E Williams St Ste 102, Banning, CA 92220 Phone: 951-588-2553 Fax: 951-755-8992 | |
Dr. Arthur Herbert Murray, M.S.W., M.A., PH.D. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1627 S Hargrave St, Banning, CA 92220 Phone: 951-922-7612 | |
Dynesha Levada Newton, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1627 S Hargrave St, Banning, CA 92220 Phone: 951-922-7612 |