Mariesa Jene Samba, is a
Social Worker - Clinical based in Los Angeles, California. Mariesa Jene Samba is licensed to practice in California (license number 103762) and her current practice location is
4601 S Broadway, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at
(323) 234-4445.
NPI number for Mariesa Jene Samba is 1831745967 and her current mailing address is 4601 S Broadway, Los Angeles, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1831745967.
Healthcare Provider's Profile
| Full Name | Mariesa Jene Samba |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
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| Location | 4601 S Broadway, Los Angeles, 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: 1831745967
- Provider Enumeration Date: 08/14/2019
- Last Update Date: 08/19/2024
Medical Identifiers
Medical identifiers for Mariesa Jene Samba such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831745967 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 103762 (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. Mariesa Jene Samba 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 |
|---|
Mariesa Jene Samba,
4601 S Broadway,
Los Angeles, CA 90037-2729
Ph: (323) 234-4445 | Mariesa Jene Samba,
4601 S Broadway,
Los Angeles, CA 90037-2729
Ph: (323) 234-4445 |
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