| Ms Jamie Trachtenberg, LCSW, ACHP-SW | |
|
471 E Tahquitz Canyon Way, Palm Springs, CA 92262-6620 | |
| (917) 696-0060 | |
| Not Available |
| Full Name | Ms Jamie Trachtenberg |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 471 E Tahquitz Canyon Way, Palm Springs, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528198231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 083924-1 (New York) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW86942 (California) | Primary |
| Entity Name | Blue Moon Senior Counseling Of California Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447678990 PECOS PAC ID: 9335360981 Enrollment ID: O20141023000497 |
| 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 Jamie Trachtenberg, LCSW, ACHP-SW 471 E Tahquitz Canyon Way Ste 222, Palm Springs, CA 92262-6620 Ph: (917) 696-0060 | Ms Jamie Trachtenberg, LCSW, ACHP-SW 471 E Tahquitz Canyon Way, Palm Springs, CA 92262-6620 Ph: (917) 696-0060 |
Ms. Maureen Harris Forman, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 490 S Farrell Dr, Suite C 208, Palm Springs, CA 92262 Phone: 760-325-4088 Fax: 760-778-3781 | |
Montgomery Ostrander, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 495 E Twin Palms Dr, #5, Palm Springs, CA 92264 Phone: 323-420-7840 | |
Deserry Salgado, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2500 N Palm Canyon Dr Ste A4, Palm Springs, CA 92262 Phone: 760-424-5602 | |
John Scott Hawkins, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 255 N El Cielo Rd Ste C300, Palm Springs, CA 92262 Phone: 760-674-3344 | |
Deborah Jane Townson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 275 N El Cielo Rd Ste C2, Palm Springs, CA 92262 Phone: 760-328-4499 Fax: 760-328-1050 | |
Elyse Prack, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 275 N El Cielo Rd, Suite D408, Palm Springs, CA 92262 Phone: 760-969-5262 Fax: 760-969-5946 | |
Mr. Alan Leon Lawrence, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 160 N Luring Dr Ste J, Palm Springs, CA 92262 Phone: 760-250-5982 |