Ms Jacqueline Mercedes Castro, | |
19231 Victory Blvd Ste 110, Reseda, CA 91335-6321 | |
(818) 708-4500 | |
(818) 654-1956 |
Full Name | Ms Jacqueline Mercedes Castro |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 19231 Victory Blvd Ste 110, Reseda, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295866432 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW69687 (California) | Primary |
225400000X | Rehabilitation Practitioner | (* (Not Available)) | Secondary |
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 Jacqueline Mercedes Castro, 19231 Victory Blvd Ste 110, Reseda, CA 91335-6321 Ph: (818) 708-4500 | Ms Jacqueline Mercedes Castro, 19231 Victory Blvd Ste 110, Reseda, CA 91335-6321 Ph: (818) 708-4500 |
Danielle J Jones, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 18040 Sherman Way, Reseda, CA 91335 Phone: 818-758-1200 | |
Mrs. Nicole Esther Mccarthy, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 18040 Sherman Way, Reseda, CA 91335 Phone: 818-758-1219 Fax: 818-758-1336 | |
Nava Paley, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 18040 Sherman Way, Reseda, CA 91335 Phone: 818-758-1200 | |
Christopher Nochez, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7101 Baird Ave, Reseda, CA 91335 Phone: 818-342-5897 | |
Jose Valle, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 18532 Willard St, Reseda, CA 91335 Phone: 818-585-9230 | |
Sabrina Cox, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7101 Baird Ave, Reseda, CA 91335 Phone: 818-342-5897 |