Joanna Mancilla, is a
Social Worker - Clinical based in Pacoima, California. Joanna Mancilla is licensed to practice in California (license number ASW113512) and her current practice location is
12450 Van Nuys Blvd Ste 200, Pacoima, California. She can be reached at her office (for appointments etc.) via phone at
(818) 896-1161.
NPI number for Joanna Mancilla is 1497472096 and her current mailing address is 12450 Van Nuys Blvd Ste 200, Pacoima, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1497472096.
Healthcare Provider's Profile
| Full Name | Joanna Mancilla |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 12450 Van Nuys Blvd Ste 200, Pacoima, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1497472096
- Provider Enumeration Date: 10/24/2022
- Last Update Date: 07/05/2023
Medical Identifiers
Medical identifiers for Joanna Mancilla such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497472096 | NPI | - | NPPES |
| 6758 | Medicaid | CA | |
| 7068 | Medicaid | CA | |
| 1954 | Medicaid | CA | |
| 7420 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | ASW113512 (California) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | ASW113512 (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. Joanna Mancilla 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 |
|---|
Joanna Mancilla,
12450 Van Nuys Blvd Ste 200,
Pacoima, CA 91331-1393
Ph: (818) 896-1161 | Joanna Mancilla,
12450 Van Nuys Blvd Ste 200,
Pacoima, CA 91331-1393
Ph: (818) 896-1161 |
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