Ms Desarae Powell, LCSW | |
18719 Calvert St, Tarzana, CA 91335-6812 | |
(310) 770-3374 | |
Not Available |
Full Name | Ms Desarae Powell |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 18719 Calvert St, Tarzana, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952427460 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 23746 (California) | Primary |
Entity Name | Uc Regents |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750368999 PECOS PAC ID: 0749180453 Enrollment ID: O20040109000819 |
Entity Name | Grow Healthcare Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
Mailing Address | Practice Location Address |
---|---|
Ms Desarae Powell, LCSW 5476 W 99th Pl Apt 3, Westchester, CA 90045-7009 Ph: (310) 770-3374 | Ms Desarae Powell, LCSW 18719 Calvert St, Tarzana, CA 91335-6812 Ph: (310) 770-3374 |
Ms. Jill Einhorn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 18401 Burbank Bl, St 219, Tarzana, CA 91356 Phone: 818-609-1424 Fax: 818-609-1450 | |
Jonathan Sickinger, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5700 Etiwanda Ave Unit 240, Tarzana, CA 91356 Phone: 310-871-2989 | |
Jessica Russell, MSW AND ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 18646 Oxnard St, Tarzana, CA 91356 Phone: 818-997-1051 | |
Mrs. Carolina Stewart, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 18321 Clark St, Tarzana, CA 91356 Phone: 818-609-2220 | |
Jonathan David Perlman, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5187 Lindley Ave, Tarzana, CA 91356 Phone: 510-909-5636 | |
Maria Jose Juarez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 19100 Ventura Blvd Ste 11, Tarzana, CA 91356 Phone: 310-299-8374 | |
Anthony Oden, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 18349 Delano St, Tarzana, CA 91335 Phone: 310-709-0066 Fax: 213-252-8738 |