Ms Martina Cisneros, LCSW | |
1140 Main St, Livingston, CA 95334-1257 | |
(209) 394-7913 | |
Not Available |
Full Name | Ms Martina Cisneros |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1140 Main St, Livingston, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073760211 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 69190 (California) | Secondary |
1041C0700X | Social Worker - Clinical | 70335 (California) | Primary |
Entity Name | Adventist Health Clearlake Hospital Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124018031 PECOS PAC ID: 3072421197 Enrollment ID: O20041112000573 |
Mailing Address | Practice Location Address |
---|---|
Ms Martina Cisneros, LCSW 1140 Main St, Livingston, CA 95334-1257 Ph: (209) 394-7913 | Ms Martina Cisneros, LCSW 1140 Main St, Livingston, CA 95334-1257 Ph: (209) 394-7913 |
Ashley S Del Valle, MSW, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 B St Bldg B, Livingston, CA 95334 Phone: 833-850-3500 | |
Mrs. Leticia Guillen, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1140 Main St, Livingston, CA 95334 Phone: 209-394-7913 Fax: 209-394-3660 | |
Lorena Esparza, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1471 B St Ste N, Livingston, CA 95334 Phone: 209-394-4032 Fax: 209-394-4166 | |
Mrs. Angelica Maria Carranza, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 600 B St, Livingston, CA 95334 Phone: 209-850-3500 | |
Ms. Juliana Rose Rocha, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1140 Main St, Livingston, CA 95334 Phone: 209-394-7913 Fax: 209-394-3660 |