Tiago Barcelos Antonio, LCSW | |
8851 Center Dr Ste 312, La Mesa, CA 91942-3050 | |
(619) 515-2383 | |
Not Available |
Full Name | Tiago Barcelos Antonio |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 8851 Center Dr Ste 312, La Mesa, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194159871 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 90529 (California) | Primary |
101YM0800X | Counselor - Mental Health | 90529 (California) | Secondary |
Entity Name | Family Health Centers Of San Diego, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447281936 PECOS PAC ID: 3476446378 Enrollment ID: O20040204000923 |
Mailing Address | Practice Location Address |
---|---|
Tiago Barcelos Antonio, LCSW 823 Gateway Center Way, San Diego, CA 92102-4541 Ph: (619) 515-2300 | Tiago Barcelos Antonio, LCSW 8851 Center Dr Ste 312, La Mesa, CA 91942-3050 Ph: (619) 515-2383 |
Noemi Ana Mitzel, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4540 Maple Ave Unit 243, La Mesa, CA 91941 Phone: 619-417-9936 | |
Dr. William Morris Coombs Iii, DSW, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5520 Wellesley St Ste 100, La Mesa, CA 91942 Phone: 619-860-8447 | |
Ms. Margaret Bouher, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 8318 University Ave, Suite A3, La Mesa, CA 91941 Phone: 619-462-5029 Fax: 619-582-9955 | |
Lori Annette Alford, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-740-4806 | |
Mrs. Martha Webb, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4700 Spring St, Suite 220, La Mesa, CA 91941 Phone: 619-667-3380 Fax: 619-528-4625 | |
Noor Doski, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8600 La Mesa Blvd Ste B, La Mesa, CA 91942 Phone: 619-733-6414 | |
Mr. Eric Michael Worsham, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4990 Williams Ave, La Mesa, CA 91941 Phone: 619-668-4200 |