Ms Andrea Gonzalez, LCSW | |
742 10th St, Imperial Beach, CA 91932-2216 | |
(619) 906-5322 | |
Not Available |
Full Name | Ms Andrea Gonzalez |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 742 10th St, Imperial Beach, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326346198 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 97593 (California) | Primary |
Entity Name | Family Health Centers Of San Diego, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447281936 PECOS PAC ID: 3476446378 Enrollment ID: O20040204000923 |
Mailing Address | Practice Location Address |
---|---|
Ms Andrea Gonzalez, LCSW Po Box 2152, Imperial Beach, CA 91933-2152 Ph: (619) 841-9499 | Ms Andrea Gonzalez, LCSW 742 10th St, Imperial Beach, CA 91932-2216 Ph: (619) 906-5322 |
Mrs. Angela Marie Brignole, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 565 Emory St, Imperial Beach, CA 91932 Phone: 901-335-6015 | |
Mr. Abel Fernandez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 347 Bonito Ave, Imperial Beach, CA 91932 Phone: 805-735-4376 Fax: 805-737-3251 | |
Alison Kempter Diaz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1325 Iris Ave, Imperial Beach, CA 91932 Phone: 619-429-2532 | |
Claudia Gonzalez, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 949 Palm Ave, Imperial Beach, CA 91932 Phone: 619-429-3733 |