Susan Marie Hannon, LCSW | |
14700 Manzanita Park Rd, Beaumont, CA 92223 | |
(951) 845-3155 | |
Not Available |
Full Name | Susan Marie Hannon |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 14700 Manzanita Park Rd, Beaumont, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518222488 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCS 20199 (California) | Primary |
Entity Name | Tobias Moeller-bertram Md Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922440684 PECOS PAC ID: 1456586064 Enrollment ID: O20140128000459 |
Mailing Address | Practice Location Address |
---|---|
Susan Marie Hannon, LCSW 43890 San Ysidro Cir, Palm Desert, CA 92260-3107 Ph: (760) 773-6477 | Susan Marie Hannon, LCSW 14700 Manzanita Park Rd, Beaumont, CA 92223 Ph: (951) 845-3155 |
Elizabeth Kaehla Waissman, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1527 Edgebrook, Beaumont, CA 92223 Phone: 714-618-5803 | |
Anastasia B Flores, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14700 Manzanita Park Rd., Beaumont, CA 92223 Phone: 951-845-3155 Fax: 951-845-8412 | |
Sidney Maduforo, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1664 Midnight Sun Dr, Beaumont, CA 92223 Phone: 626-633-2128 | |
Mrs. Jessica Sarah Garcia, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 984 Lillies Way, Beaumont, CA 92223 Phone: 626-863-2468 | |
Nancy Satterwhite, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14700 Manzanita Park Rd, Beaumont, CA 92223 Phone: 951-845-3155 Fax: 951-845-8412 | |
Adelaide Mcmahon, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1440 Beaumont Ave Unit A2, #234, Beaumont, CA 92223 Phone: 760-525-9186 |