Tatiana Benton, | |
1581 Corte Seville Unit 1, Chula Vista, CA 91913-2501 | |
(757) 375-2207 | |
Not Available |
Full Name | Tatiana Benton |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1581 Corte Seville Unit 1, Chula Vista, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518626977 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 105457 (California) | Primary |
Entity Name | Head Strong & Ready |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023587367 PECOS PAC ID: 2567700727 Enrollment ID: O20190213001494 |
Mailing Address | Practice Location Address |
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Tatiana Benton, 1581 Corte Seville Unit 1, Chula Vista, CA 91913-2501 Ph: (757) 375-2207 | Tatiana Benton, 1581 Corte Seville Unit 1, Chula Vista, CA 91913-2501 Ph: (757) 375-2207 |
Denise Flor Montes, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1800 Maxwell Rd, Chula Vista, CA 91911 Phone: 619-902-2453 | |
Mr. David Myrick, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 353 H St, Chula Vista, CA 91910 Phone: 619-496-9792 | |
Isamar Camille Cortes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 333 H St Ste 3010, Chula Vista, CA 91910 Phone: 858-576-1700 | |
Katie Elizabeth Maldonado, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 751 Medical Center Ct, Chula Vista, CA 91911 Phone: 619-502-3452 | |
Tami Concon, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1622 Moonbeam Ln, Chula Vista, CA 91915 Phone: 619-888-7427 | |
Cassandra Scott, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 330 Moss St, Chula Vista, CA 91911 Phone: 619-585-4221 | |
Nina J. Segal, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 231 4th Ave, Chula Vista, CA 91910 Phone: 619-259-3568 Fax: 619-431-2226 |