Kimberly Renee Mangarin, LCSW is a
Social Worker - Clinical based in San Leandro, California. Kimberly Renee Mangarin is licensed to practice in California (license number 110950) and her current practice location is
2275 Arlington Dr, San Leandro, California. She can be reached at her office (for appointments etc.) via phone at
(510) 317-1444.
NPI number for Kimberly Renee Mangarin is 1255405668 and her current mailing address is 1234 Empire St, Fairfield, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255405668.
Healthcare Provider's Profile
| Full Name | Kimberly Renee Mangarin |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 2275 Arlington Dr, San Leandro, 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: 1255405668
- Provider Enumeration Date: 11/17/2006
- Last Update Date: 05/09/2023
Medical Identifiers
Medical identifiers for Kimberly Renee Mangarin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255405668 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | 77089 (California) | Secondary |
| 104100000X | Social Worker | 77089 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 110950 (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. Kimberly Renee Mangarin 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 |
|---|
Kimberly Renee Mangarin, LCSW
1234 Empire St,
Fairfield, CA 94533-5711
Ph: (141) 527-1376 | Kimberly Renee Mangarin, LCSW
2275 Arlington Dr,
San Leandro, CA 94578-1132
Ph: (510) 317-1444 |
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