Krista Mortellaro, is a
Social Worker - Clinical based in Lancaster, California. Krista Mortellaro is licensed to practice in California (license number 101761) and her current practice location is
349 E Avenue K6 Ste A, Lancaster, California. She can be reached at her office (for appointments etc.) via phone at
(661) 723-4260.
NPI number for Krista Mortellaro is 1578066247 and her current mailing address is Po Box 1796, Santa Clarita, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578066247.
Healthcare Provider's Profile
| Full Name | Krista Mortellaro |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 349 E Avenue K6 Ste A, Lancaster, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1578066247
- Provider Enumeration Date: 03/08/2018
- Last Update Date: 06/17/2021
Medical Identifiers
Medical identifiers for Krista Mortellaro such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578066247 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 101761 (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. Krista Mortellaro 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 |
|---|
Krista Mortellaro,
Po Box 1796,
Santa Clarita, CA 91386-1796
Ph: () - | Krista Mortellaro,
349 E Avenue K6 Ste A,
Lancaster, CA 93535-4548
Ph: (661) 723-4260 |
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