Breanna Lynne Simental, is a
Social Worker based in Fontana, California. Breanna Lynne Simental is licensed to practice in California (license number 122782) and her current practice location is
14677 Merrill Ave, Fontana, California. She can be reached at her office (for appointments etc.) via phone at
(951) 643-2340.
NPI number for Breanna Lynne Simental is 1215699673 and her current mailing address is 14677 Merrill Ave, Fontana, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215699673.
Healthcare Provider's Profile
Full Name | Breanna Lynne Simental |
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Gender | Female |
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Speciality | Social Worker |
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Location | 14677 Merrill Ave, Fontana, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1215699673
- Provider Enumeration Date: 10/12/2021
- Last Update Date: 07/24/2024
Medical Identifiers
Medical identifiers for Breanna Lynne Simental such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215699673 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
104100000X | Social Worker | 122782 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Breanna Lynne Simental is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Breanna Lynne Simental, 14677 Merrill Ave, Fontana, CA 92335-4219 Ph: (951) 643-2340 | Breanna Lynne Simental, 14677 Merrill Ave, Fontana, CA 92335-4219 Ph: (951) 643-2340 |
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